Difference between revisions of "Mechanical bowel perforation"

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'''Mechanical bowel perforation''' is a relatively uncommon occurrence.  
'''Mechanical bowel perforation''' is a relatively uncommon occurrence.  
'''Bowel perforation''' redirects to this article.  This article covers the [[differential diagnosis]] of bowel perforation.


==General==
==General==
*Uncommon.
*Uncommon.


Causes:<ref name=pmid23212537>{{Cite journal  | last1 = Hines | first1 = J. | last2 = Rosenblat | first2 = J. | last3 = Duncan | first3 = DR. | last4 = Friedman | first4 = B. | last5 = Katz | first5 = DS. | title = Perforation of the mesenteric small bowel: etiologies and CT findings. | journal = Emerg Radiol | volume = 20 | issue = 2 | pages = 155-61 | month = Apr | year = 2013 | doi = 10.1007/s10140-012-1095-3 | PMID = 23212537 }}</ref>
===Causes of perforation
*Iatrogenic, i.e. complication of a surgery.
Non-mechanical causes:<ref name=pmid23212537/>
**Typically elderly.
*[[Inflammatory bowel disease]] - [[Crohn's disease]], toxic megacolon.
*Trauma, e.g. [[gunshot wound]], [[sharp force trauma]].
**Typically younger people that were "minding their own business".
 
Other causes of perforation non-mechanical:<ref name=pmid23212537/>
*[[Crohn's disease]].
*[[Diverticular disease]].
*[[Diverticular disease]].
*Foreign body.
*Malignancy.
*Malignancy.
*Ischemia.
*Ischemia.
**[[Ischemic enteritis]].
**[[Ischemic enteritis]].
**[[Ischemic colitis]].
**[[Ischemic colitis]].
*Duodenal ulcer.
====Mechanical causes====
Mechanical causes:<ref name=pmid23212537>{{Cite journal  | last1 = Hines | first1 = J. | last2 = Rosenblat | first2 = J. | last3 = Duncan | first3 = DR. | last4 = Friedman | first4 = B. | last5 = Katz | first5 = DS. | title = Perforation of the mesenteric small bowel: etiologies and CT findings. | journal = Emerg Radiol | volume = 20 | issue = 2 | pages = 155-61 | month = Apr | year = 2013 | doi = 10.1007/s10140-012-1095-3 | PMID = 23212537 }}</ref>
*Iatrogenic, e.g. complication of a surgery, colonscopy.
**Typically elderly.
*Trauma, e.g. [[gunshot wound]], [[sharp force trauma]].
**Typically younger people that were "minding their own business".
*Foreign body.


==Gross==
==Gross==
48,466

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