Computed Tomography of Adult Blunt Abdominal and Pelvic Trauma: Implications for Treatment and Interventions

Stone, Taylor; Norbet, Christopher; Rhoades, Patrick D.; Bhalla, Sanjeev; Menias, Christine O.

doi:10.1053/j.ro.2014.01.004

Cited by 7 publications

(6 citation statements)

References 67 publications

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“…Aggressive resuscitation or prolonged hypovolemia can produce radiological changes in pancreatic imaging; fluid overload can induce peripancreatic edema or collections. In patients with severe shock both hypo- and hyper-perfusion of the gland have been described [99–101].…”

Section: Methodsmentioning

confidence: 99%

Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines

et al. 2019

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Duodeno-pancreatic and extrahepatic biliary tree injuries are rare in both adult and pediatric trauma patients, and due to their anatomical location, associated injuries are very common. Mortality is primarily related to associated injuries, but morbidity remains high even in isolated injuries. Optimal management of duodeno-bilio-pancreatic injuries is dictated primarily by hemodynamic stability, clinical presentation, and grade of injury. Endoscopic and percutaneous interventions have increased the ability to non-operatively manage these injuries. Late diagnosis and treatment are both associated to increased morbidity and mortality. Sequelae of late presentations of pancreatic injury and complications of severe pancreatic trauma are also increasingly addressed endoscopically and with interventional radiology procedures. However, for moderate and severe extrahepatic biliary and severe duodeno-pancreatic injuries, immediate operative intervention is preferred as associated injuries are frequent and commonly present with hemodynamic instability or peritonitis. The aim of this paper is to present the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) duodenal, pancreatic, and extrahepatic biliary tree trauma management guidelines.

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Section: Methodsmentioning

confidence: 99%

Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines

et al. 2019

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“…The primary radiological abdominal evaluation is based on FAST echography, with or without chest and abdomen X-rays. In haemodynamically stable patients, CT has become the gold standard for early evaluation of abdominal blunt and penetrating trauma [1, 2]. …”

Section: Discussionmentioning

confidence: 99%

“…Most abdominal traumas result from motor vehicle accident, fall, interpersonal violence and only rarely from suicidal attempt [1, 2]. The radiological assessment includes a focused assessment with sonography in trauma (FAST), and, in stable patients, an abdominal computer tomography (CT).…”

Section: Introductionmentioning

confidence: 99%

Management of a complex pancreaticoduodenal lesion following a suicidal attempt with a crossbow

et al. 2016

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Traumatic pancreaticoduodenal lesions are rare, often involve a challenging management, and have high rates of morbidity and mortality. A 43-year-old male patient committed a suicidal attempt by shooting an arrow with a crossbow into his upper abdomen. He was successfully treated with cautious multidisciplinary approach. Crossbow lesions demonstrate low kinetics. Sharp tips of arrows result in localized damage, likely to involve several organs. Pancreatic lesions are of particular interest because of their difficult surgery. Surgical exploration and drainage can allow an efficient management of pancreatic penetrating lesions, even in the presence of a complete pancreatic duct disruption.

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“…On the venous phase, a pseudoaneurysm typically does not increase in size, and exhibits enhancement pattern synchronous with those of the other arterial vessels. 3,41 When the intraluminal pressure increases, the pseudoaneurysm can easily rupture. Therefore, patients should be treated regardless of its diameter (Figure 3).…”

Section: Pseudoaneurysmsmentioning

confidence: 99%

“…Trauma is one of most common causes of death or permanent disability in people younger than age 40 years and constitutes a serious medical dilemma. [1][2][3] It is usually due to blunt force from deceleration, compression or impaction, 4,5 particularly in motor vehicle collisions, 6,7 which occur at a speed .65 km h 21 or in a motorcycle collision faster than 35 km h 21 . 8 With traumatic injuries, a timely approach is crucial; thus, the most appropriate imaging modality is necessary.…”

Section: Introductionmentioning

confidence: 99%

Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma: the imaging findings and management implications

Iacobellis

Ierardi

Mazzei

et al. 2016

BJR

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Acute vascular injuries are the second most common cause of fatalities in patients with multiple traumatic injuries; thus, prompt identification and management is essential for patient survival. Over the past few years, multidetector CT (MDCT) using dual-phase scanning protocol has become the imaging modality of choice in high-energy deceleration traumas. The objective of this article was to review the role of dual-phase MDCT in the identification and management of acute vascular injuries, particularly in the chest and abdomen following multiple traumatic injuries. In addition, this article will provide examples of MDCT features of acute vascular injuries with correlative surgical and interventional findings.

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Computed Tomography of Adult Blunt Abdominal and Pelvic Trauma: Implications for Treatment and Interventions

Cited by 7 publications

References 67 publications

Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines

Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines

Management of a complex pancreaticoduodenal lesion following a suicidal attempt with a crossbow

Dual-phase CT for the assessment of acute vascular injuries in high-energy blunt trauma: the imaging findings and management implications

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