KLI

Radiologic Imaging of Traumatic Bowel and Mesenteric Injuries: A Comprehensive Up-to-Date Review

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Abstract
Diagnosing bowel and mesenteric trauma poses a significant challenge to radiologists. Although these injuries are relatively rare, immediate laparotomy may be indicated when they occur. Delayed diagnosis and treatment are associated with increased morbidity and mortality; therefore, timely and accurate management is essential. Additionally, employing strategies to differentiate between major injuries requiring surgical intervention and minor injuries considered manageable via non-operative management is important. Bowel and mesenteric injuries are among the most frequently overlooked injuries on trauma abdominal computed tomography (CT), with up to 40% of confirmed surgical bowel and mesenteric injuries not reported prior to operative treatment. This high percentage of falsely negative preoperative diagnoses may be due to several factors, including the relative rarity of these injuries, subtle and non-specific appearances on CT, and limited awareness of the injuries among radiologists. To improve the awareness and diagnosis of bowel and mesenteric injuries, this article provides an overview of the injuries most often encountered, imaging evaluation, CT appearances, and diagnostic pearls and pitfalls. Enhanced diagnostic imaging awareness will improve the preoperative diagnostic yield, which will save time, money, and lives.
Issued Date
2023
Rathachai Kaewlai
Jitti Chatpuwaphat
Worapat Maitriwong
Sirote Wongwaisayawan
Cheong-Il Shin
Choong Wook Lee
Type
Article
Keyword
GI tractInjuriesMesenteryRadiologistsTomographyX-Ray computed
DOI
10.3348/kjr.2022.0998
URI
https://oak.ulsan.ac.kr/handle/2021.oak/17399
Publisher
KOREAN JOURNAL OF RADIOLOGY
Language
영어
ISSN
1229-6929
Citation Volume
24
Citation Number
5
Citation Start Page
406
Citation End Page
423
Appears in Collections:
Medicine > Nursing
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