Computed tomography has an important role in hollow viscus and mesenteric injuries after blunt abdominal trauma

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

“…This was due to patient selection bias, as patients had more serious injuries in this study (average ISS 14) and were selected on the basis of an abdominal trauma that did not reflect the entire trauma population. The prevalence in our study is actually close to that documented in other cohorts of blunt abdominal trauma patients, with a reported prevalence of surgical BBMI of 12.3 % in the study by Wu et al [15], and 15.3 % in the study by Tan et al [14]. Interestingly, in our study, surgical BBMI constituted the majority of blunt abdominal trauma patients explored by laparotomy, and currently represents the main reason for laparotomy [27].…”

“…There is still controversy as to how reliably CT alone could help identify those BBMI requiring surgery. Lastly, some authors have underlined the high negative predictive value of CT for BBMI [9,13,14], but the real predictive value of CT is unknown as, given the low incidence of BBMI, the studies were designed as case-control studies [9], or as surgical cohorts of patients treated by laparotomy for trauma [10,[13][14][15] but not in consecutive patients with abdominal trauma.…”

Will computed tomography (CT) miss something? The characteristics and pitfalls of torso CT in evaluating patients with blunt solid organ trauma

“…[8,9,14] Nevertheless, the ability of doctors to identify hollow viscus injuries based on a CT scan relies on some non-specific CT findings such as free intra-abdominal fluid, visceral wall thickening or increased fat infiltration. [15][16][17] In patients who had sustained SOI, these indirect signs cannot represent the concomitant presence of hollow viscus injuries.…”

Rupture of Meckel’s diverticulum after a blunt abdominal trauma: a case report

“…The trauma to the anterior wall of the abdomen often leads to injuries of the hollow viscus, although injuries to the back and buttocks can also reach intra-cavitary organs. Treatment is usually surgical [14][15][16].…”

“…Small bowel injuries are infrequent in contusions, although they are found in traumas with high kinetic energy such as high-speed car crashes [15]. They usually occur in the angle of Treitz and ileocecal region, which are relatively fixed regions, which undergo stretching [16].…”