Aspectos radiológicos en la presencia de aire subdiafragmático de causa no traumática en adultos mayores

Abstract

INTRODUCTION: Hollow viscus perforation can be of the gastrointestinal, biliary or genitourinary tract in free form to the cavity, causing generalized peritonitis, that is, as a perforated or partial ulcer; which can lead to localized peritonitis. Its etiology may be due to vascular, traumatic, inflammatory, tumoral, parasitic or idiopathic causes. In this case, the causes that can occur in the case of the presence of subdiaphragmatic air in non-traumatic older adult patients will be exposed. OBJECTIVE: To determine imaging criteria present in hollow viscus perforation of non-traumatic cause in elderly patients, through a literature review in the last 5 years, which allows medical personnel to achieve an effective imaging diagnosis. METHODOLOGY: This is a retrospective descriptive study through a bibliographic review of scientific articles compiled in the scientific bases of SCIELO, PUBMED, MESH, GOOGLE ACADEMIC for the extraction of qualitative information, compiling information on radiological aspects in the presence of subdiaphragmatic air in non-traumatic older adult patients. CONCLUSION: To determine the diagnostic and therapeutic management in the acute abdomen in older adults with suspected presence of air in their diaphragm, it is necessary to assess the patient, if the patient is stable, analgesia is administered with complementary tests and ultrasound images, if this is not conclusively, a computed tomography is requested, once a certainty is obtained regarding the diagnosis, the necessary interconsultations are requested with the corresponding specialty for a multidisciplinary evaluation.