Gastrointestinal Perforation (Hole In Intestine)
Description
A hole in the gastrointestinal tract, also called a perforation. The gastrointestinal tract begins at the mouth and includes the esophagus, small and large intestines, and ends at the anus. The hole can occur from an ulcer, severe intestinal blockage, trauma, or cancer. It can be life threatening, and is generally fixed surgically.
Symptoms
Abdominal pain, fever, nausea, vomiting, bloody stools, abdominal rigidity, abdominal bloating.
Tests
A history and physical exam will be performed. Blood tests and imaging studies to make the diagnosis and identify the area of perforation will be done. The CT scan is more sensitive than a plain X-ray.
- CBC
- Chem 12
- Lipase
- BHCG
- UA
- X-Ray
- EKG
- CT Scan
Treatment
Therapy depends on the location and severity of the perforation. Treatment includes: intravenous fluids, intravenous antibiotics, nasogastric tube insertion, hospitalization, and emergent surgical repair.
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