Computed Tomography (CT) of Bowel and Mesenteric Injury in Blunt Abdominal Trauma: A Pictorial Essay
- Author:
Radhiana Hassan
;
Azian Abd Aziz
;
Siti Kamariah Che Mohamed
- Publication Type:Other types
- Keywords:
Bowel and mesenteric injury, Computed tomography, Blunt abdominal trauma
- From:
The Medical Journal of Malaysia
2012;67(4):445-452
- CountryMalaysia
- Language:English
-
Abstract:
Computed tomography (CT) is currently the diagnostic
modality of choice in the evaluation of clinically stable
patients with blunt abdominal trauma, including the
assessment of blunt bowel and mesenteric injuries. CT
signs of bowel and/or mesenteric injuries are bowel wall
defect, free air, oral contrast material extravasation,
extravasation of contrast material from mesenteric vessels,
mesenteric vascular beading, abrupt termination of
mesenteric vessels, focal bowel wall thickening, mesenteric
fat stranding, mesenteric haematoma and intraperitoneal or
retroperitoneal fluid. This pictorial essay illustrates CT
features of bowel and/or mesenteric injuries in patients with blunt abdominal trauma. Pitfalls in interpretation of images are emphasized in proven cases.
