Helical computed tomography of bowel and mesenteric injuries

被引:122
作者
Killeen, KL
Shanmuganathan, K
Poletti, PA
Cooper, C
Mirvis, SE
机构
[1] Univ Maryland, Med Syst, Dept Diagnost Radiol, Baltimore, MD 21201 USA
[2] Univ Maryland, Med Syst, Dept Trauma Surg, Baltimore, MD 21201 USA
[3] Ctr Shock Trauma, Baltimore, MD USA
[4] Univ Hosp Geneva, Dept Radiol, Div Diagnost & Intervent Radiol, Geneva, Switzerland
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2001年 / 51卷 / 01期
关键词
intestines; computed tomography; trauma; helical; abdomen; injuries;
D O I
10.1097/00005373-200107000-00005
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: The role of computed tomography in diagnosing hollow viscus injury after blunt abdominal trauma remains controversial,,vith previous studies reporting both high accuracy and poor results. This study was performed to determine the diagnostic accuracy of helical computed tomography in detecting bowel and mesenteric injuries after blunt abdominal trauma in a large cohort of patients. Methods: One hundred fifty patients were admitted to our Level I trauma center over a 4-year period with computed tomographic (CT) scan or surgical diagnosis of bowel or mesenteric injury. CT scan findings were retrospectively graded as negative, nonsurgical, or surgical bowel or mesenteric injury. The CT scan diagnosis was then compared with surgical findings, which were also graded as negative, nonsurgical, or surgical. Results: Computed tomography had an overall sensitivity of 94% in detecting bowel injury and 96% in detecting mesenteric injury. Surgical bowel cases were correctly differentiated in 64 of 74 cases (86%), and surgical mesenteric cases were correctly differentiated from nonsurgical in 57 of 76 cases (75%). Conclusion: Helical CT scanning is very accurate in detecting bowel and mesenteric injuries, as well as in determining the need for surgical exploration in bowel injuries. However, it is less accurate in predicting the need for surgical exploration in mesenteric injuries alone.
引用
收藏
页码:26 / 36
页数:11
相关论文
共 13 条
[11]   BOWEL AND MESENTERIC INJURY FOLLOWING BLUNT ABDOMINAL-TRAUMA - EVALUATION WITH CT [J].
RIZZO, MJ ;
FEDERLE, MP ;
GRIFFITHS, BG .
RADIOLOGY, 1989, 173 (01) :143-148
[12]   INTESTINAL INJURIES MISSED BY COMPUTED-TOMOGRAPHY [J].
SHERCK, JP ;
OAKES, DD .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1990, 30 (01) :1-7
[13]   CT IN CHILDREN WITH RUPTURE OF THE BOWEL CAUSED BY BLUNT TRAUMA - DIAGNOSTIC EFFICACY AND COMPARISON WITH HYPOPERFUSION COMPLEX [J].
SIVIT, CJ ;
EICHELBERGER, MR ;
TAYLOR, GA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1994, 163 (05) :1195-1198