Multidetector CT Imaging of Bowel and Mesenteric Injury: Review of Key Signs

被引:3
作者
Bennett, Andrew E. [1 ]
Levenson, Robin B. [2 ]
Dorfman, Jon D. [3 ]
机构
[1] UMass Mem Med Ctr, Dept Radiol, 55 North Lake Ave, Worcester, MA 01605 USA
[2] Beth Israel Deaconess Med Ctr, Dept Radiol, 330 Brookline Ave, Boston, MA 02215 USA
[3] UMass Mem Med Ctr, Dept Surg, Worcester, MA USA
关键词
BLUNT ABDOMINAL-TRAUMA; PENETRATING TORSO TRAUMA; COMPUTED-TOMOGRAPHY; SURGICAL INTERVENTION; CLINICAL-SIGNIFICANCE; PERFORMANCE; PERFORATION; LEVEL; ORGAN; SCAN;
D O I
10.1053/j.sult.2018.03.003
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
In contemporary practice, multidetector computed tomography plays a critical role in the diagnostic evaluation of patients with suspected acute mesenteric and bowel trauma. Although less common than solid organ injuries, it may be seen in up to 5% of blunt trauma patients. Evaluation with CT remains challenging even with improvements in technology. The major imaging signs of mesenteric and bowel trauma and what is known about their applicability in clinical practice are reviewed here. Examples illustrate both the subtlety and variable significance of many of the key signs as well as how these are typically integrated into clinical practice. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:363 / 373
页数:11
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