Utility of enteric contrast material in abdominal penetrating trauma: A narrative review - 26/06/21
, Vincent M. Mellnick b, Michael N. Patlas c
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Highlights |
• | Diagnosis of bowel injury may be challenging, particularly in stab wounds, where they represent up to 47% of traumatic injuries undetected with CT. |
• | Multiple imaging signs have been described in stab wounds; however high clinical index of suspicion is required as many direct signs lack sensitivity. |
• | Although not used routinely, enteric contrast material can be used in select patients to improve detection of bowel injury, particularly colorectal injuries, assist in equivocal situations, and can also be helpful in diagnosing bowel injury in traumas with multiple trajectory paths (i.e., multiple gunshot wounds or stab wounds) as use of wound trajectory can be limited in these patients. |
Abstract |
Penetrating trauma is an important cause of morbidity and mortality. With the possibility of conservative management for hemodynamically stable trauma patient, computed tomography (CT) has become an important tool in diagnosis and management of penetrating trauma. There have been multiple studies examining the utility and lack of perceived benefit of using enteric contrast material in the initial CT evaluation. We provide a narrative review of the surgical and radiological literature, offer our own protocol for how to approach the imaging of patients with suspected bowel injury following penetrating traumatic injury and discuss the potential of using enteric contrast material.
Le texte complet de cet article est disponible en PDF.Keywords : Penetrating trauma, Computed tomography, Enteric contrast, Abdominal injury, Bowel injury
Abbreviations : CT, IV, SNOM
Plan
Vol 102 - N° 7-8
P. 471-477 - juillet 2021 Retour au numéro
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