Oral Contrast Solution and Computed Tomography for Blunt Abdominal Trauma

Stafford, Renae E.; McGonigal, Michael D.; Weigelt, John A.; Johnson, Thomas J.

doi:10.1001/archsurg.134.6.622

Cited by 85 publications

(29 citation statements)

References 22 publications

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“…If the patient develops signs of peritonitis or becomes unstable then a surgical intervention is needed. The diagnostic role of computed tomography scan is limited in hollow space organ injuries [13,14].…”

Section: Discussionmentioning

confidence: 99%

Small bowel perforation due to blunt trauma to an inguinal hernia: a case report and literature review

Shahin

Sahota

Hotouras

et al. 2010

Hernia

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We report the case of a 41-year-old man with a known right inguinal hernia presenting with groin pain following a fall while dog walking. Operative findings showed a small bowel perforation affecting the loop of bowel in the hernial sac. Bowel perforations caused by blunt abdominal injury in patients with an inguinal hernia is a rare and not well recognised problem, and are confined to a handful of case reports in the surgical literature.

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Section: Discussionmentioning

confidence: 99%

Small bowel perforation due to blunt trauma to an inguinal hernia: a case report and literature review

Shahin

Sahota

Hotouras

et al. 2010

Hernia

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“…However, in real trauma setting, the usefulness of laparoscopy in the diagnosis of blunt abdominal trauma is rather limited, due to time limitations, costs, and invasiveness of the procedure [3,47,74]. There still are limitations to the visualization of all areas of the abdomen, and several studies have documented missed bowel injuries [1,12,75].…”

Section: Diagnostic Laparoscopymentioning

confidence: 99%

Actual Diagnostic Strategies in Blunt Abdominal Trauma

Broos¹,

Gutermann²

2002

Eur J Trauma

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An accurate assessment of patients with potential blunt abdominal trauma should include a safe and reliable method of determining the need for operative intervention because the mortality and morbidity of these injuries are directly dependent on the immediately valid diagnostic work-up. Since peritoneal signs are often subtle, overshadowed by pain from associated injury or masked by head trauma and intoxicants, clinical methods of diagnosis are often unreliable. Since the frequently injured liver and spleen are nowadays more frequently managed nonoperatively, an acute assessment not only of the presence of injury, but also of the nature and extent of the injuries to the intraabdominal organs, raises an increasing demand of both sensitive and specific diagnostic modalities.This article discusses the use of different diagnostic modalities including peritoneal lavage, computed tomography scanning, ultrasound and laparoscopy in the diagnosis and immediate management of blunt abdominal trauma patients, and formulates a trauma protocol for managing these patients.

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“…Opponents report an increased incidence of vomiting/aspiration as well as increased length of stay in the emergency department with no improvement in specificity or sensitivity of CT in the diagnosis of bowel injury [39,40,41]. Visualization of many of the CT signs of bowel injury do not relate directly to the presence of intraluminal contrast material (free air, bowel wall thickening, free fluid in the absence of solid organ injury), and even in the presence of bowel perforation, extravasated oral contrast is rare [39,41]. Post-traumatic ileus resulting in delayed transit of oral contrast into the small bowel and overdistention of the stomach causing impaired visualization of the left lobe of the liver are also sited as adverse effects of oral contrast administration [39,40].…”

Section: Enteric Contrastmentioning

confidence: 99%

CT evaluation of pediatric abdominal trauma: pitfalls and quandaries

Hollingsworth

Bisset

2001

Emergency Radiology

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CT of the pediatric abdomen after blunt trauma has become a widely accepted technique for evaluation of hepatic and splenic injury. However, detection of hollow viscus and pancreatic injury remains challenging and controversial. Detection of bowel rupture (extravasated oral contrast, bowel discontinuity), pancreatic injury (laceration, separation of fragments) and bladder rupture may be difficult, particularly with inadequate technique and lack of vigilance. This article reviews findings associated with several injuries which may present diagnostic pitfalls as well as technical factors relating to the administration of enteric contrast and CT cystography.

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Oral Contrast Solution and Computed Tomography for Blunt Abdominal Trauma

Cited by 85 publications

References 22 publications

Small bowel perforation due to blunt trauma to an inguinal hernia: a case report and literature review

Small bowel perforation due to blunt trauma to an inguinal hernia: a case report and literature review

Actual Diagnostic Strategies in Blunt Abdominal Trauma

CT evaluation of pediatric abdominal trauma: pitfalls and quandaries

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