| Abstrakt: |
Injuries to the bowel and mesentery are found in approximately 5 of patients undergoing laparotomy following blunt trauma. Helical CT is the imaging modality of choice for evaluating patients following blunt abdominal trauma. The sensitivity of CT scanning for detecting traumatic bowel injury ranges between 88 and 92. In contrast, ultrasonography has a poor sensitivity in detecting these injuries, in part because free fluid is commonly absent in patients with isolated bowel or mesenteric injuries following blunt trauma. CT findings in patients with traumatic bowel and mesenteric injury include focal bowel wall thickening (>3–4 mm), free fluid, free air, oral contrast agent extravasation, discrete discontinuity in the bowel wall, bowel wall hematoma, and mesenteric hematoma. |
