CT Scan Diagnosis in Gastrointestinal Tract Rupture after Blunt Abdominal Trauma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHENG Yuanchao ¹

Department of Surgery, Baogang Hospital, Shanghai The Second Medical University, Shanghai 201900, China;

Corresponding author：

Keywords：

Blunt abdominal traumaGastrointestinal tract ruptureComputed tomography

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Objective To evaluate the role of CT in diagnosis of the gastrointestinal tract rupture after blunt abdominal trauma. MethodsTwenty preoperative CT scans and clinical data were obtained in 20 patients who subsequently had bowel ruptures verified surgically. CT findings were analyzed retrospectively in these patients. Retrospective interpretation was made by consensus of at least two radiologists. ResultsTwenty cases of CT scan showed intraperitoneal fluid (18 cases), pneumoperitoneum (18 cases), extravasations of gastrointestinal tract contents (2 cases), bowel wall findings (14 cases) and mesenteric injury (15 cases). Conclusion CT is fast, sensitive and noninvasive in diagnosis of the gastrointestinal tract rupture after blunt abdominal trauma.

Citation： ZHENG Yuanchao,JIANG Yongsheng,XIA Yan,ZHANG Biao. CT Scan Diagnosis in Gastrointestinal Tract Rupture after Blunt Abdominal Trauma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(5): 506-508. doi: Copy

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1. 景炳文主编. 急诊急救学 [M]. 第1版.上海：上海科学普及出版社， 1997∶506～506.
2. 林水全. 腹部伤的急救原则 [Ｊ]. 中国实用外科杂志， 1995； 15（11）∶647.
3. 闵鹏秋，刘燕. 急腹症：腹部影像诊断的一个新热点 [Ｊ].中国医学计算机成像杂志， 1999； 5(4)∶278.
4. Levine CD, Patel UJ, Wachsberg RH,et al.CT in patients with blunt abdominal trauma: clinical significance of intraperitoneal fluid detected on a scan with otherwise normal findings [Ｊ].AJR Am J Roentgenol, 1995； 164(6)∶1381.
5. Hamilton P,Rizoli S, McLellan B, et al. Significance of intraabdominal extraluminal air detected by CT scan in blunt abdominal trauma [Ｊ]. J Trauma, 1995; 39(2)∶331.
6. Nghiem HV, Jeffery RB Jr,Mindelzun RE. CT of blunt trauma to the bowel and mesentery [Ｊ].AJR Am J Roentgenol, 1993； 160(1)∶53.
7. Novelline RA, Rhea JT, Bell T. Helical CT of abdominal trauma [Ｊ]. Radiol Clin North Am, 1999; 37(3)∶591.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

CT Scan Diagnosis in Gastrointestinal Tract Rupture after Blunt Abdominal Trauma

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