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Imaging of Gastrointestinal Trauma

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Trauma Computed Tomography

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Abstract

Traumatic injuries are the leading cause of death in Americans under 45 years of age and the third most common cause of death for all Americans. Diagnostic imaging, in particular computed tomography (CT), has become essential in the evaluation of trauma patients due its ability to provide rapid, accurate, and detailed information. CT scanning can detect the extent and severity of injuries to the gastrointestinal system, including the liver, spleen, pancreas, bowel, and mesentery. In addition, CT scanning can help identify actionable complications such as active hemorrhage, organ dysfunction, and fluid collections.

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References

  1. Mattox KL, Moore EE, Feliciano DV. Trauma. 9th ed. New York: McGraw-Hill Medical; 2021.

    Google Scholar 

  2. Simel DL. Does this adult patient have a blunt intra-abdominal injury? JAMA. 2012;307(14):1517.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Isenhour JL, Marx J. Advances in abdominal trauma. Emerg Med Clin North Am. 2007;25(3):713–33.

    Article  PubMed  Google Scholar 

  4. Durso AM, Paes FM, Caban K, Danton G, Braga TA, Sanchez A, et al. Evaluation of penetrating abdominal and pelvic trauma. Eur J Radiol. 2020;130:109187.

    Article  PubMed  Google Scholar 

  5. Miele V, Trinci M, editors. Diagnostic imaging in polytrauma patients. Cham: Springer; 2018.

    Google Scholar 

  6. Carr JA, Roiter C, Alzuhaili A. Correlation of operative and pathological injury grade with computed tomographic grade in the failed nonoperative management of blunt splenic trauma. Eur J Trauma Emerg Surg. 2012;38(4):433–8.

    Article  CAS  PubMed  Google Scholar 

  7. Bee TK, Croce MA, Miller PR, Pritchard FE, Fabian TC. Failures of splenic nonoperative management: is the glass half empty or half full? J Trauma Inj Infect Crit Care. 2001;50(2):230–6.

    Article  CAS  Google Scholar 

  8. Clark TJ, Cardoza S, Kanth N. Splenic trauma: pictorial review of contrast-enhanced CT findings. Emerg Radiol. 2011;18(3):227–34.

    Article  PubMed  Google Scholar 

  9. Anderson SW, Varghese JC, Lucey BC, Burke PA, Hirsch EF, Soto JA. Blunt splenic trauma: delayed-phase CT for differentiation of active hemorrhage from contained vascular injury in patients. Radiology. 2007;243(1):88–95.

    Article  PubMed  Google Scholar 

  10. Marmery H, Shanmuganathan K, Mirvis SE, Richard H, Sliker C, Miller LA, et al. Correlation of multidetector CT findings with splenic arteriography and surgery: prospective study in 392 patients. J Am Coll Surg. 2008;206(4):685–93.

    Article  PubMed  Google Scholar 

  11. Wirth S, Hebebrand J, Basilico R, Berger FH, Blanco A, Calli C, et al. European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version). Insights Imaging. 2020;11(1):135.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Stephens J, Yu HS, Uyeda JW. Hepatobiliary trauma imaging update. Radiol Clin N Am. 2022;60(5):745–54.

    Article  PubMed  Google Scholar 

  13. Shanmuganathan K, Mirvis SE, Chiu WC, Killeen KL, Hogan GJF, Scalea TM. Penetrating torso trauma: triple-contrast helical CT in peritoneal violation and organ injury—a prospective study in 200 patients. Radiology. 2004;231(3):775–84.

    Article  CAS  PubMed  Google Scholar 

  14. Moore EE, Shackford SR, Pachter HL, McAninch JW, Browner BD, Champion HR, et al. Organ injury scaling: spleen, liver, and kidney. J Trauma. 1989;29(12):1664–6.

    Article  CAS  PubMed  Google Scholar 

  15. Moore EE, Cogbill TH, Malangoni MA, Jurkovich GJ, Champion HR, Gennarelli TA, et al. Organ injury scaling, II: pancreas, duodenum, small bowel, colon, and rectum. J Trauma. 1990;30(11):1427–9.

    Article  CAS  PubMed  Google Scholar 

  16. Moore EE, Cogbill TH, Jurkovich GJ, McAninch JW, Champion HR, Gennarelli TA, et al. Organ injury scaling. III: chest wall, abdominal vascular, ureter, bladder, and urethra. J Trauma. 1992;33(3):337–9.

    Article  CAS  PubMed  Google Scholar 

  17. Moore EE, Jurkovich GJ, Knudson MM, Cogbill TH, Malangoni MA, Champion HR, et al. Organ injury scaling. VI: extrahepatic biliary, esophagus, stomach, vulva, vagina, uterus (nonpregnant), uterus (pregnant), fallopian tube, and ovary. J Trauma. 1995;39(6):1069–70.

    Article  CAS  PubMed  Google Scholar 

  18. Moore EE, Malangoni MA, Cogbill TH, Peterson NE, Champion HR, Jurkovich GJ, et al. Organ injury scaling VII: cervical vascular, peripheral vascular, adrenal, penis, testis, and scrotum. J Trauma. 1996;41(3):523–4.

    Article  CAS  PubMed  Google Scholar 

  19. Kozar RA, Crandall M, Shanmuganathan K, Zarzaur BL, Coburn M, Cribari C, et al. Organ injury scaling 2018 update: spleen, liver, and kidney. J Trauma Acute Care Surg. 2018;85(6):1119–22.

    Article  PubMed  Google Scholar 

  20. Bekker W, Hernandez MC, Zielinski MD, Kong VY, Laing GL, Bruce JL, et al. Defining an intra-operative blunt mesenteric injury grading system and its use as a tool for surgical-decision making. Injury. 2019;50(1):27–32.

    Article  PubMed  Google Scholar 

  21. Wandling M, Cuschieri J, Kozar R, O’Meara L, Celii A, Starr W, et al. Multi-center validation of the bowel injury predictive score (BIPS) for the early identification of need to operate in blunt bowel and mesenteric injuries. Injury. 2022;53(1):122–8.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA

    Joanie Garratt & Mathew Hensley

  2. Department of Radiology, Winchester Radiologists, Winchester, VA, USA

    Paul Hill

Authors
  1. Joanie Garratt
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  2. Paul Hill
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  3. Mathew Hensley
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Corresponding author

Correspondence to Joanie Garratt .

Editor information

Editors and Affiliations

  1. Department of Medical Imaging, Penn Presbyterian Medical Center, Philadelphia, PA, USA

    Friedrich Knollmann

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Garratt, J., Hill, P., Hensley, M. (2023). Imaging of Gastrointestinal Trauma. In: Knollmann, F. (eds) Trauma Computed Tomography. Springer, Cham. https://doi.org/10.1007/978-3-031-45746-3_7

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  • DOI: https://doi.org/10.1007/978-3-031-45746-3_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-45745-6

  • Online ISBN: 978-3-031-45746-3

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