Accuracy of computed tomography in the detection of blunt bowel and mesenteric injuries

Elton, Colin; Riaz, A. A.; Young, Noel; Schamschula, R. G.; Papadopoulos, B.; Malka, Valerie

doi:10.1002/bjs.4931

Cited by 52 publications

(30 citation statements)

References 25 publications

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“…It is highly reliable for intra-abdominal solid organ injury diagnosis and is now considered accurate in the diagnosis of bowel and mesenteric injuries complicating blunt abdominal trauma [5]. Many CT findings of BBMI have been reported, some of which are specific, but most are only suggestive, and the exact diagnostic performance of CT remains debatable, with experienced readers yielding more accurate diagnoses [2,[6][7][8][9][10][11][12]. Moreover, some BBMI, e.g.…”

Section: Introductionmentioning

confidence: 99%

Value of CT to predict surgically important bowel and/or mesenteric injury in blunt trauma: performance of a preliminary scoring system

et al. 2015

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Section: Introductionmentioning

confidence: 99%

Value of CT to predict surgically important bowel and/or mesenteric injury in blunt trauma: performance of a preliminary scoring system

et al. 2015

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“…The incidence of blunt bowel and mesenteric injury (BBMI) has increased in recent years due to the high incidence of blunt abdominal trauma in the urbanized world [1]. Thus growing number of patients with blunt abdominal injury is thought to be due to high-speed motor accidents and the use of seat belts [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…A CT scan with findings of significant intraperitoneal free fluid in the absence of an injury to a solid organ, bowel-wall thickening, mesenteric stranding, contrast extravasation and pneumoperitoneum may tilt the decision-making to a surgical intervention. Shocked-bowel, obstruction of the inferior vena cava by hematoma and increased central venous pressure due to tension pneumothorax or cardiac tamponade may also be revealed on a CT scan as bowel and mesenteric edema, which may mislead the clinician into thinking there is BBMI [1,6,8,9].…”

Section: Introductionmentioning

confidence: 99%

Management of blunt bowel and mesenteric injuries: Experience at the Alfred hospital

Alsayali¹,

Atkin²,

Winnett³

et al. 2009

Eur J Trauma Emerg Surg

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“…These lesions occur as a result of high energy trauma involving motor vehicle accidents in 70-90% of cases. [2][3][4][5][6][7][8][9] The most common cause of HVI in our study is RTA (70%) and most of the patients were young and there is a need to focus on the preventive aspects also.…”

Section: -5mentioning

confidence: 99%

Hollow viscus injury due to blunt abdominal trauma

et al. 2017

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Background: Management of hollow viscus injury (HVI) due to blunt abdominal trauma (BAT) is a challenge to the clinicians even in the era of advanced imaging and enhanced critical care. Repeated clinical examination with appropriate imaging with multidisciplinary teamwork is the key for timely intervention in equivocal cases for successful outcomes. Aim of the study was to present our experience over last 4½ years.Methods: This is a retrospective study of prospectively collected data of patients treated at surgical gastroenterology department, Nizam’s Institute of Medical Sciences, Hyderabad, India over a period of 4½ years (2012-2016).Results: A total of 126 BAT Patients were treated in our unit as inpatients during the last 4½ years. Out of 126, twenty patients (15.87%) with HVI in whom surgical intervention was done formed the study group. Contrast enhanced CT Scan abdomen and chest was done in stable patients (13/20), in rest of the patients (7/20) the decision to operate was taken more on clinical grounds along with X-ray abdomen and USG abdomen features. 12 (60%) had jejunal and ileal injuries, 5 (25%) patients had colonic injuries (sigmoid 4, caecum 1). One (5%) patient had extra peritoneal rectal perforation with ascending retroperitoneal fascitis and 2 (10%) had duodenal injury. Two (10%)patients required relaparotomy. We had mortality in 3 (15%) patients and 17 (85%) patients had complete recovery.Conclusions: Hollow viscus injury should be suspected in all cases of blunt abdominal trauma. In equivocal cases careful repeat clinical examinations with close monitoring and repeat imaging is highly essential to prevent delay in intervention. Type of procedure is based on time of presentation, degree of contamination, associated injuries and general condition of the patient.

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Accuracy of computed tomography in the detection of blunt bowel and mesenteric injuries

Abstract: Spiral CT is highly sensitive for detecting a BMI following blunt abdominal trauma. This sensitivity is maintained when the scan is reported by a radiology registrar.

Cited by 52 publications

References 25 publications

Value of CT to predict surgically important bowel and/or mesenteric injury in blunt trauma: performance of a preliminary scoring system

Value of CT to predict surgically important bowel and/or mesenteric injury in blunt trauma: performance of a preliminary scoring system

Management of blunt bowel and mesenteric injuries: Experience at the Alfred hospital

Hollow viscus injury due to blunt abdominal trauma

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