Is Laparotomy Mandated for Retroperitoneal Free Air Following Blunt Abdominal Trauma?

Cothren, Clay C.; Moore, Ernest E.; Huerd, Scott; Gunberg, Steven R.

doi:10.1097/00005373-200111000-00026

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…Isolated pneumoretroperitoneum in the anterior pararenal space adjacent to the duodenum is suggestive of a duodenal perforation (53). Likewise, localized pericolonic retroperitoneal air is suggestive of colonic perforation (54). Pneumoretroperitoneum from communications between the retroperitoneum and vere trauma that can result as a response to shock (55).…”

Section: Retroperitoneal Airmentioning

confidence: 99%

Traumatic Retroperitoneal Injuries: Review of Multidetector CT Findings

Daly

Ho²,

Persson³

2008

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Multidetector computed tomography (CT) represents a significant advance in CT technology and can allow the accurate assessment of trauma patients, including the detection of traumatic retroperitoneal injuries, many of which are clinically occult. Retroperitoneal injuries include duodenal, pancreatic, vascular, renal, and adrenal injuries. Abnormal blood, fluid, or air within the retroperitoneal spaces may be isolated findings but can also occur in association with these injuries, and their recognition is the key to correctly identifying the injury. Accurate characterization of injury with CT can affect clinical management and can help minimize unnecessary laparotomies. Equivocal findings at initial abdominal CT should prompt close clinical follow-up with possible imaging follow-up, particularly for suspected occult duodenal and pancreatic injuries.

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Section: Retroperitoneal Airmentioning

confidence: 99%