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HOME > J Korean Soc Traumatol > Volume 16(1); 2003 > Article
A Case of Small Bowel Perforation with False Negative Findings in Diagnostic Peritoneal Lavage
Journal of Trauma and Injury 2003;16(1):64-67
DOI: https://doi.org/
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Department of Emergency Medicine, College of Medicine, Ewha Woman’s University

Although diagnostic peritoneal lavage (DPL) is a well-established, reliably objective method of diagnosis for intraperitoneal injury, it is too sensitive to be used as an indicator for an emergency celiotomy. Therefore, since the development of ultrasonography and advanced computed tomographic scanners, the role of DPL has been markedly reduced. Despite such remarkable advances, however, radiologic diagnosis of intestinal injury cannot always provide definitive results, and DPL may still be valuable in such instances in which intestinal injury cannot be ruled out. We used a new DPL criterion that had previously been introduced to aid in the diagnosis of intestinal injury. This report presents the case of a patient who was diagnosed with a small bowel injury after operation in spite of a negative DPL; a brief review of the subject is also presented.

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