Viscous Perforation

Viscous Perforation

emDocs - December 14, 2019 - Authors: Thomas Aubuchon and Eric Sulava

Reviewed by: Brit Long and Alex Koyfman

"Pearls:

• Early resuscitation with fluids and antibiotics in any suspected perforation.
• Allow your risk factors guide your differential! (Table 1).
• Early surgical consult in any suspected perforation.
• This is often a clinical diagnosis. The abdominal exam can be helpful, but be wary in immunocompromised and elderly patients.
• Imaging can help; however, do not rely on radiographs (especially plain films). CT may be needed for definitive diagnosis."