1887
  1. Home
  2. A-Z Publications
  3. Journal of Emergency Medicine, Trauma and Acute Care
  4. Volume 2013, Issue 1
  5. Article
Volume 2013, Issue 1
  • ISSN: 1999-7086
  • E-ISSN: 1999-7094

Abstract

To evaluate multi-detector CT (MDCT) findings in bowel and mesenteric injury due to blunt abdominal trauma. Retrospective evaluation of MDCT scan reports of patients admitted in Hamad Medical Corporation, Doha, Qatar with bowel and mesenteric injury during the period of January 2005 to April 2008. MDCT, without using oral contrast, clearly demonstrated various specific and less specific findings of bowel and mesenteric injury. Multi-detector CT is an excellent diagnostic modality in bowel and mesenteric injury. Routine administration of oral contrast agent is not mandatory for initial evaluation of these patients.

© 2012 Parambath, Al Hilili, Ravikumar, licensee Bloomsbury Qatar Foundation Journals.
Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2013.2
2013-07-01
2019-10-16
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2013/1/jemtac.2013.2.html?itemId=/content/journals/10.5339/jemtac.2013.2&mimeType=html&fmt=ahah

References

  1. [1]. Peitzman   AB., , Arnold   SA., , Boone   DC. . Trauma manual . Pittsburgh, PA: : University of Pittsburgh Press;   1994; ; : 93
    [Google Scholar]
  2. [2]. Malhotra   AK., , Fabian   TC., , Katsis   SB., , Gavant   ML., , Croce   MA. . Blunt bowel and mesenteric injuries: the role screening computed tomography. . J Trauma . 2000; ;48: : 991– – 1000
    [Google Scholar]
  3. [3]. Fakhry   SM., , Brownstein   M., , Watts   DD., , Baker   CC., , Oller   D. . Relatively short diagnostic delays ( < 8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from multicentre experience. . J Trauma . 2000; ;48: : 408– – 414
    [Google Scholar]
  4. [4]. Fang   JF., , Chen   JC., , Lin   BC. . Cell count ratio: new criterion of diagnostic peritoneal lavage for detection of hollow organ perforation. . J Trauma . 1998; ;45: : 540– – 544
    [Google Scholar]
  5. [5]. Brown   MA., , Casola   G., , Sirlin   CB., , Patel   NY., , Hoyt   DB. . Blunt abdominal trauma: screening US in 2,693 patients. . Radiology . 2001; ;218: : 352– – 358
    [Google Scholar]
  6. [6]. Shanmugananthan   K., , Mirvis   SE., , Sherbourne   CD., , Chui   WC., , Rodriguez   A. . Hem peritoneum as sole indicator of abdominal visceral injuries: a potential limitation of screening abdominal US for trauma. . Radiology . 1999; ;212: : 423– – 430
    [Google Scholar]
  7. [7]. Brownstein   MR., , Bunting   T., , Meyer   AA., , Fakhry   SM. . Diagnosis and management of blunt small bowel injury: a survey of the membership of the American Association for the Surgery of Trauma. . J Trauma . 2000; ;48: : 402– – 407
    [Google Scholar]
  8. [8]. Mettler   FA Jr., , Huda   W., , Yoshizumi   TT., , Mahesh   M. . Effective doses in radiology and diagnostic nuclear medicine: a catalog. . Radiology . 2008; ;248: 1 : 254– – 263
    [Google Scholar]
  9. [9]. Thomsen   HS., , Bush   WH. . Adverse effects of contrast media: incidence, prevention and management. . Drug Safety . 1998; ;19: : 313– – 324
    [Google Scholar]
  10. [10]. Poletti   PA., , Kinkel   K., , Vermeulen   B., , Irmay   F., , Unger   PF., , Terrier   F. . Blunt abdominal trauma: should US be used to detect both free fluid and organ injuries. . Radiology . 2003; ;227: : 95– – 103
    [Google Scholar]
  11. [11]. Rizzo   MJ., , Federle   MP., , Griffiths   BG. . Bowel and mesenteric injury following blunt abdominal trauma: evaluation with CT. . Radiology . 1989; ;173: : 143– – 148 , Mirvis SE, Gens DR, Shanmuganathan K. Rupture of the bowel after blunt abdominal trauma: diagnosis with CT. AJR Am J Roentgenol 1992; 159:1217–1221
    [Google Scholar]
  12. [12]. Mirvis   SE., , Gens   DR., , Shanmuganathan   K. . Rupture of the bowel after blunt abdominal trauma: diagnosis with CT. . AJR Am J Roentgenol . 1992; ;159: : 1217– – 1221
    [Google Scholar]
  13. [13]. Donohue   JH., , Federle   MP., , Griffiths   BG., , Trunkey   DD. . Computed tomography in the diagnosis of blunt intestinal and mesenteric injuries. . J Trauma . 1987; ;27: : 11– – 17
    [Google Scholar]
  14. [14]. Killeen   KL., , Shanmuganathan   K., , Poletti   PA., , Cooper   C., , Mirvis   SE. . Helical computed tomography of bowel and mesenteric injuries. . J Trauma . 2001; ;51: : 26– – 36
    [Google Scholar]
  15. [15]. Scaglione   M., , de Lutio di Castelguidone   E., , Scialpi   M., , Merola   S., , Diettrich   AI., , Lombardo   P., , Romano   L., , Grassi   R. . Blunt trauma to the gastrointestinal tract and mesentery: is there a role for helical CT in the decision-making process?.   Eur J Radiol . 2004; ;50: : 67– – 73
    [Google Scholar]
  16. [16]. Brofman   N., , Atri   M., , Hanson   JM., , Grinblat   L., , Chughtai   T., , Brenneman   F. . Evaluation of bowel and mesenteric trauma with multidetector CT. . Radiographics . 2006; ;26: : 1119– – 1131
    [Google Scholar]
  17. [17]. Hagiwara   A., , Yukioka   T., , Satou   M., , Yoshii   H., , Yamamoto   S., , Matsuda   H., , Shimazaki   S. . Early diagnosis of small intestinal rupture from blunt abdominal trauma using computed tomography: significance of the streaky density within the mesentery. . J Trauma . 1995; ;38: : 630– – 633
    [Google Scholar]
  18. [18]. Breen   DJ., , Janzen   DL., , Zwirewich   CV., , Nagy   AG. . Blunt bowel and mesenteric injury: diagnostic performance of CT signs. . J Comput Assist Tomogr . 1997; ;21: : 706– – 712
    [Google Scholar]
  19. [19]. Donohue   JH., , Federle   MP., , Griffiths   BG., , Trunkey   DD. . Computed tomography in the diagnosis of blunt intestinal and mesenteric injuries. . J Trauma . 1987; ;27: : 11– – 17
    [Google Scholar]
  20. [20]. Sivit   CJ., , Eichelberger   MR., , Taylor   GA. . CT in children with rupture of the bowel caused by blunt trauma: diagnosis efficacy and comparison with hypoperfusion complex. . AJR Am J Roentgenol . 1994; ;163: : 1195– – 1198
    [Google Scholar]
  21. [21]. Kane   NM., , Francis   IR., , Burney   RE., , Wheatley   MJ., , Ellis   JH., , Korobkin   M. . Traumatic pneumoperitoneum: implications of computed tomography diagnosis. . Invest Radiol . 1991; ;26: : 574– – 578
    [Google Scholar]
  22. [22]. Brody   JM., , Leighton   DB., , Murphy   BL., , Abbott   GF., , Vaccaro   JP., , Jagminas   L., , Cioffi   WG. . CT of blunt trauma bowel and mesenteric injury: typical findings and pitfalls in diagnosis. . Radiographics . 2000; ;20: : 1525– – 1536
    [Google Scholar]
  23. [23]. Dowe   MF., , Shanmuganathan   K., , Mirvis   SE., , Steiner   RC., , Cooper   C. . CT findings of mesenteric injury after blunt trauma: implications for surgical intervention. . AJR Am J Roentgenol . 1997; ;168: : 425– – 428
    [Google Scholar]
  24. [24]. Killeen   KL., , Shanmuganathan   K., , Poletti   PA., , Cooper   C., , Mirvis   SE. . Helical computed tomography of bowel and mesenteric injuries. . J Trauma . 2001; ;51: : 26– – 36
    [Google Scholar]
  25. [25]. Halvorsen   RA., , Mckenney   K. . Blunt trauma to gastrointestinal tract: CT findings with small bowel and colon injuries. . Emerg Radiol . 2002; ;9: : 141– – 145
    [Google Scholar]
  26. [26]. Allen   TL., , Mueller   MT., , Bonk   RT., , Harker   CP., , Duffy   OH., , Stevens   MH. . Computed tomographic scanning without oral contrast solution for blunt bowel and mesenteric injuries in abdominal trauma. . J Trauma . 2004; ;56: : 314– – 322
    [Google Scholar]
  27. [27]. Stuhlfaut   Joshua W., , Soto   Jorge A., , Lucey   Brian C., , Ulrich   Andrew., , Rathlev   Niels K., , Burke   Peter A., , Hirsch   Erwin F. . Blunt abdominal trauma: performance of CT without oral contrast material. . Radiology . 2004; ;233: : 689– – 694
    [Google Scholar]
  28. [28]. Holmes   JF., , Offerman   SR., , Chang   CH., , Randel   BE., , Hahn   DD., , Frankovsky   MJ., , Wisner   DH. . Performance of helical computed tomography without oral contrast for detection of gastrointestinal injuries. . Ann Emeg Med . 2004; ;43: : 120– – 128
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/jemtac.2013.2
Loading
Multi-detector CT (MDCT) in bowel and mesenteric injury
Journal of Emergency Medicine, Trauma and Acute Care 2013, 2 (2013); https://doi.org/10.5339/jemtac.2013.2
/content/journals/10.5339/jemtac.2013.2
/content/journals/10.5339/jemtac.2013.2
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): , Bowel , contrast agents , injury , MDCT and mesentery
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error