Specific Radiological Findings of Traumatic Gastrointestinal Tract Injuries in Patients with Blunt Chest and Abdominal Trauma

Abstract

Gastrointestinal hollow viscus injury after blunt chest and abdominal trauma is uncommon and complicates 0.6%-1.2% of all cases of trauma. Early recognition of such injuries significantly decreases morbidity and mortality. Since physical examination is not accurate in detecting such injuries, contrast-enhanced computed tomography has been the mainstay for diagnosis in many emergency departments. This pictorial essay aims to review the incidence, mechanisms, and signs of gastrointestinal hollow viscus injuries in the setting of blunt chest and abdominal trauma.

Small bowel perforation following blunt abdominal trauma caused by an accidental hammer blow: A case report

“…Different investigations reported low accuracy (16-45%) of clinical findings and unreliability in defining the need for laparotomy in BAT patients [7]. Due to the charac- teristics of the small bowel content, which is characterized by low bacterial content and almost neutral pH, peritoneal irritation develops slowly [8]. Pneumoperitoneum may not be specific for the diagnosis of SBP [8], especially if SBP is confined or temporarily covered, or only liquid is leaking.…”

Nonsurgical management of traumatic pneumoperitoneum in a cat

“…Conversely, deceleration forces cause stretching and shearing between the relatively mobile bowel and fixed mesentery. However, gastrointestinal injury after blunt trauma appears to be relatively uncommon, occurring in only 0.6–1.2% of people . Kolata et al.…”

Abdominal Travma

“…Genelde pankreatik yaralanmaya eşlik eder. İntraperitoneal-daha hareketli ve retroperitoneal-daha sabit segmentlerin geçişinde yaralanma olasılığı daha yüksektir [1,[27][28][29][30][31][32].…”

“…Bulguların ortaya çıkması zaman alabilir. Üç mm üzerinde duvar kalınlık artışı ve bu segmentte duvarda serbest hava görülebilir (Şekil 11) [27][28][29][30][31][32].…”

“…İnce inferior vena kava, adrenal gland ve barsak duvarında kontrast tutulumu, pankreatik, retroperitoneal ödem, periportal ödem; hipoperfüzyon kompleksi tablosu olarak görülür. Diğer barsak duvar kalınlık artışı izlenen durumlar; inflamatuar-enfeksiyöz süreçler, segmentlerin tam distansiyon olmaması, izole mezenter yırtığı, non travmatik hematom, arteryel kanlanma veya venöz drenajın bozulmasıdır [27][28][29][30][31][32].…”