Computed tomography (CT) of bowel and mesenteric injury in blunt abdominal trauma: a pictorial essay.

Med J Malaysia

International Islamic University Malaysia, Radiology, IIUM Breast Centre, Kulliyyah of Medicine, IIUM, Jalan Hospital Campus, Kuantan, Pahang 25100, Malaysia.

Published: August 2012

AI Article Synopsis

  • CT scans are the preferred method for diagnosing blunt abdominal trauma in stable patients, particularly for bowel and mesenteric injuries.
  • Key CT signs indicating these injuries include bowel wall defects, free air, and various forms of contrast material extravasation.
  • The essay highlights CT features and common misinterpretations in diagnosing bowel and mesenteric injuries.

Article Abstract

Computed tomography (CT) is currently the diagnostic modality of choice in the evaluation of clinically stable patients with blunt abdominal trauma, including the assessment of blunt bowel and mesenteric injuries. CT signs of bowel and/or mesenteric injuries are bowel wall defect, free air, oral contrast material extravasation, extravasation of contrast material from mesenteric vessels, mesenteric vascular beading, abrupt termination of mesenteric vessels, focal bowel wall thickening, mesenteric fat stranding, mesenteric haematoma and intraperitoneal or retroperitoneal fluid. This pictorial essay illustrates CT features of bowel and/or mesenteric injuries in patients with blunt abdominal trauma. Pitfalls in interpretation of images are emphasized in proven cases.

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