Evaluation of bowel and mesenteric injury: role of multidetector CT

被引：44

作者：

Hawkins, AE ^{[1
]}

Mirvis, SE ^{[1
]}

机构：

[1] Univ Maryland, Sch Med, Dept Radiol, Baltimore, MD 21201 USA

来源：

ABDOMINAL IMAGING | 2003年 / 28卷 / 04期

关键词：

bowel and mesenteric injury; multidetector row CT;

D O I：

10.1007/s00261-002-0079-2

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The development of thin-section multidetector computed tomography has improved the accuracy of computed tomography in the evaluation of abdominal trauma. Multidetector computed tomography is more sensitive and specific than diagnostic peritoneal lavages, abdominal sonography, and clinical examination for the detection of bowel and mesenteric injury. Computed tomographic findings include pneumoperitoneum, visualization of direct tears in the bowel wall, intraperitoneal fluid, bowel wall thickening, abnormal bowel wall enhancement, and mesenteric infiltration or hematoma.

引用

页码：505 / 514

页数：10

共 50 条

[1]

Anderson P A, 1991, J Orthop Trauma, V5, P153, DOI 10.1097/00005131-199105020-00006

[2] Traumatic injury to the superior mesenteric artery [J].

Asensio, JA ;

Berne, JD ;

Chahwan, S ;

Hanpeter, D ;

Demetriades, D ;

Marengo, J ;

Velmahos, GC ;

Murray, J ;

Shoemaker, WC ;

Berne, TV .

AMERICAN JOURNAL OF SURGERY, 1999, 178 (03) :235-239

[3] CT OF THE GASTROINTESTINAL-TRACT - PRINCIPLES AND INTERPRETATION [J].

BALTHAZAR, EJ .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1991, 156 (01) :23-32

[4] Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma [J].

Brasel, KJ ;

Olson, CJ ;

Stafford, RE ;

Johnson, TJ .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1998, 44 (05) :889-892

[5] Blunt bowel and mesenteric injury: Diagnostic performance of CT signs [J].

Breen, DJ ;

Janzen, DL ;

Zwirewich, CV ;

Nagy, AG .

JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1997, 21 (05) :706-712

[6] CT of blunt trauma bowel and mesenteric injury: Typical findings and pitfalls in diagnosis [J].

Brody, JM ;

Leighton, DB ;

Murphy, BL ;

Abbott, GF ;

Vaccaro, JP ;

Jagminas, L ;

Gioffi, WG .

RADIOGRAPHICS, 2000, 20 (06) :1525-1536

[7] Diagnosis and management of blunt small bowel injury: A survey of the membership of the American Association for the Surgery of Trauma [J].

Brownstein, MR ;

Bunting, T ;

Meyer, AA ;

Fakhry, SM .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2000, 48 (03) :402-407

[8] MANAGEMENT OF BLUNT AND PENETRATING COLON INJURIES [J].

BUGIS, SP ;

BLAIR, NP ;

LETWIN, ER .

AMERICAN JOURNAL OF SURGERY, 1992, 163 (05) :547-550

[9] DIAGNOSIS OF ISOLATED SMALL BOWEL INJURY FOLLOWING BLUNT ABDOMINAL-TRAUMA [J].

BURNEY, RE ;

MUELLER, GL ;

COON, WW ;

THOMAS, EJ ;

MACKENZIE, JR .

ANNALS OF EMERGENCY MEDICINE, 1983, 12 (02) :71-74

[10] PENETRATING POSTERIOR ABDOMINAL-TRAUMA [J].

BURNS, RK ;

SARIOL, HS ;

ROSS, SE .

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1994, 25 (07) :429-431

← 1 2 3 4 5 →