Ability of specific and nonspecific signs of multidetector computed tomography (MDCT) in the diagnosis of blunt surgically important bowel and mesenteric injuries

Molinelli, Valeria; Iosca, Simona; Duka, Ejona; Marchi, Giuseppe De; Lucchina, Natalie; Bracchi, Elena; Carcano, Giulio; Novario, Raffaele; Fugazzola, Carlo

doi:10.1007/s11547-018-0923-2

Cited by 11 publications

(11 citation statements)

References 39 publications

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“…A CT scan of the abdomen has become the gold standard diagnostic modality for the hemodynamically stable blunt trauma patient for parenchymal organs, however the performance for BBMI were still overlooked. In the previous literature, there were ten common characteristics advised while evaluating the CT, where the most important one is to select out the surgical BBMI [16,18]. The typical image patterns of BBMI cannot show both good sensitivity and specificity properly.…”

Section: Discussionmentioning

confidence: 99%

The Prognosis of Blunt Bowel and Mesenteric Injury—The Pitfall in the Contemporary Image Survey

Liao

Hsieh

Chen

et al. 2019

JCM

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Delayed diagnosis and intervention of blunt bowel and mesenteric injury (BBMI) is a hazard because of poor prognosis. Computed tomography (CT) is the standard imaging tool to evaluate blunt abdominal trauma (BAT). However, a high missed diagnosis rate for BMMI was reported. In this study, we would like to evaluate the presentation of CT in BBMI. Moreover, we want to evaluate the impact of deferred surgical intervention of BBMI on final prognosis. We performed a retrospective study from 2013–2017, including patients with BAT and BBMI who underwent surgical intervention. We evaluated clinical characteristics, CT images, and surgical timing, as well as analyzed the prognosis of BBMI. There were 6164 BAT patients and 188 BMI patients included. The most common characteristics of CT were free fluid (71.3%), free air (43.6%), and mesenteric infiltration (23.4%). There were no single characteristics of a CT image that can predict BBMI significantly. However, under close monitoring, we find that deferred intervention did not prolong the hospital and intensive care unit stays and did not worsen the prognosis and mortality.

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Section: Discussionmentioning

confidence: 99%

The Prognosis of Blunt Bowel and Mesenteric Injury—The Pitfall in the Contemporary Image Survey

Liao

Hsieh

Chen

et al. 2019

JCM

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“…Adrenal hemorrhage are more common in children especially in neonates; in new-borns is more frequent compare to adults (18,(94)(95)(96) because adrenal glands seem to be more commonly involved traumatically because of the larger size and the hypervascularization in the neonatal period.…”

Section: Discussionmentioning

confidence: 99%

Pitfalls and differential diagnosis on adrenal lesions: current concepts in CT/MR imaging: a narrative review

Reginelli¹,

Vacca²,

Belfiore³

et al. 2020

Gland Surg

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The purpose of this pictorial essay is to review the imaging findings of adrenal lesions. Adrenal lesions could be divided into functioning or non-functioning masses, primary or metastatic, and benign or malignant. Imaging techniques have undergone significant advances in recent years. The most significant objective of adrenal imaging is represented by the detection and, when possible, characterization of adrenal lesions in order to direct patient management correctly. The detection and management of adrenal lesions is based on cross-sectional imaging obtained with non-contrast CT (tumour density), contrast-enhanced CT including delayed washout (either absolute percentage washout or relative percentage one) and finally with MR chemical shift analysis (loss of signal intensity between in-phase and out-of-phase images including both qualitative and quantitative estimates of signal loss). The small incidental adrenal nodules are benign, in most of cases; some tumors such as lipid-rich adenoma and myelolipoma have characteristic features that can be diagnosed accurately in CT. On contrary, if the presenting contrast-enhanced CT shows an adrenal mass with uncertain or malignant morphologic features, particularly in patients with a known history of malignancy, further evaluations should be considered. The most significative implications for radiologists are represented by how to assess risk of malignancy on imaging and what follow-up to indicate if an adrenal incidentaloma is not surgically removed.

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“…The evaluation of any patient with trauma begins with A,B,C (airway, breathing and circulation). 17 If the patient is hemodynamically stable, the CT scan can be performed to assess abdominal and pelvic injuries. USG or Extended Focussed Assessment with Sonography for Trauma (EFAST) can be performed in unstable patients.…”

Section: Discussionmentioning

confidence: 99%

“…Other causes may be fall from a height, sports injuries, bicycle injury, industrial injuries, assaults and abdominal injury from child abuse. 2,3 Surgery is required in about 25% of the civilians who suffer abdominal injury. 4 The abdomen is the third most common region to get injured and the injury can be either blunt or penetrating.…”

Section: Introductionmentioning

confidence: 99%

Study of Blunt Abdominal Injuries in A Tertiary Care Hospital – A Prospective Study

Sivakumar¹,

Kuthush²

2019

IJCMSR

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Ability of specific and nonspecific signs of multidetector computed tomography (MDCT) in the diagnosis of blunt surgically important bowel and mesenteric injuries

Abstract: MDCT is an accurate technique in the evaluation of blunt surgically relevant BMIs. The single specific CT signs were sufficient for the diagnosis in only 75% of the cases; adding the two specific combinations allowed an increase in sensitivity of 20%.

Cited by 11 publications

References 39 publications

The Prognosis of Blunt Bowel and Mesenteric Injury—The Pitfall in the Contemporary Image Survey

The Prognosis of Blunt Bowel and Mesenteric Injury—The Pitfall in the Contemporary Image Survey

Pitfalls and differential diagnosis on adrenal lesions: current concepts in CT/MR imaging: a narrative review

Study of Blunt Abdominal Injuries in A Tertiary Care Hospital – A Prospective Study

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