Traumatic lumbar hernias: do patient or hernia characteristics predict bowel or mesenteric injury?
| Autor: | Vincent M. Mellnick, Constantine A. Raptis, Michael Lin, Douglas J. E. Schuerer, Chad Lonsford |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Contrast Media Wounds Nonpenetrating Blunt Lumbar Humans Medicine Mesentery Radiology Nuclear Medicine and imaging Hernia Retrospective Studies business.industry Medical record Significant difference Accidents Traffic Lumbosacral Region Length of Stay medicine.disease Predictive value digestive system diseases Hernia Abdominal Surgery Intestines stomatognathic diseases surgical procedures operative Abdominal trauma Emergency Medicine Injury Severity Score Female Radiology Tomography X-Ray Computed business |
| Zdroj: | Emergency Radiology. 21:239-243 |
| ISSN: | 1438-1435 1070-3004 |
| DOI: | 10.1007/s10140-013-1191-z |
| Popis: | Traumatic lumbar hernias are rare but important injuries to diagnose in blunt abdominal trauma, both because of delayed complications of the hernia itself and because of well-documented association with bowel and mesenteric injuries. No study to our knowledge has determined whether specific features of the hernia—size of the wall defect, inferior or superior location, or the side of the hernia—bear any predictive value on the presence of underlying bowel and mesenteric injury. A retrospective query of the radiology information system yielded 21 patients with lumbar hernias which were diagnosed on CT. These were reviewed by three radiologists to confirm the presence of an acute lumbar hernia and to determine the size and location of the hernia. The patients’ medical records were reviewed to determine the presence of operatively confirmed bowel and/or mesenteric injuries, which occurred in 52 % of patients. A significant (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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