Upper abdominal trauma: pitfalls in CT diagnosis
| Autor: | D E Cook, J W Walsh, William H. Brewer, C W Vick |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Duodenum Abdominal Injuries medicine Occult malignancy Humans Radiology Nuclear Medicine and imaging Ct diagnosis Diagnostic Errors Child Pancreas Aged business.industry Medical record Stomach Middle Aged medicine.disease Surgery medicine.anatomical_structure Abdominal trauma Intestinal Perforation Child Preschool Female Radiology Pancreatic injury Tomography X-Ray Computed business Small bowel perforation |
| Zdroj: | Radiology. 159:65-69 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.159.1.3952332 |
| Popis: | Medical records and computed tomographic (CT) scans of 83 patients with upper abdominal trauma were retrospectively reviewed to determine errors in diagnosis using CT. Patients with possible pancreatic injury, small bowel perforation, or injury to an occult malignancy represented the most difficult diagnostic cases. A false-positive diagnosis of pancreatic injury occurred in seven of 77 patients (9%) and represented the most frequent error in the series. In three patients with subsequently surgically proved small bowel perforation, one duodenal and two proximal jejunal, the injuries were not correctly diagnosed on CT scans. In retrospect, positive CT findings were present in the case of duodenal rupture. Additionally, in two patients, duodenal rupture was suspected based on CT findings of extraluminal gas and fluid near the duodenum, but both cases were proved normal at surgery. The series included three patients with trauma involving unsuspected tumors in the liver, kidney, and stomach. |
| Databáze: | OpenAIRE |
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