CT diagnosis of concealed rupture of intestine following abdominal trauma
10.3760/cma.j.issn.1005-1201.2009.01.016
- VernacularTitle:隐匿性外伤性肠破裂的CT诊断
- Author:
Jiansong JI
;
Tiemin WEI
;
Zufei WANG
;
Zhongwei ZHAO
;
Jianfei TU
;
Xiaoxi FAN
;
Min XU
- Publication Type:Journal Article
- Keywords:
Trauma;
Intestinal diseases;
Tomography,X-ray computed
- From:
Chinese Journal of Radiology
2009;43(1):57-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate CT findings of concealed rupture of intestine following abdominal trauma.Methods CT findings of 11 cases with concealed rupture of intestine following abdominal trauma proved by surgery were identified retrospectively.Results The main special signs included:(1)Free air in 4 cases,mainly around injured small bowel or under the diaphragnl,or in the retroperhoneal space or and in the lump.(2)High density hematoma between the intestines or in the bowel wall(4 cases).(3)Bowel wall injury sign,demonstrated as low density of the injured intestinal wall,anenuated locally but relatively enhanced in neiighbor wall on enhanced CT.(4)Lump around the injured bowel wall with obvious ring.shaped enhancement(4 cases).Other signs included:(1)Free fluid in the abdominal cavity or between the intestines with blurred borders.(2)Bowel obstruction.Conclusion CT is valuable in diagnosing concealed rupture of intestine following abdominal trauma.
