Traumatic bowel perforation: analysis of CT findings according to the perforation site and the elapsed time since accident.
Abdominal CTs of 57 patients with bowel perforation after blunt abdominal trauma were retrospectively analyzed to determine: the diagnostic accuracy of the perforation site, and the differential findings according to the elapsed time from the trauma. Diagnostic accuracy of the perforation site was as follows: duodenum (100%), jejunum (81%), jejunoileal junction (100%), ileum (93%), and colon (20%). Extraluminal air was the only significant differential findings according to the elapsed time, and was seen more commonly on late stage of bowel perforation (P<.05).
Department of Diagnostic Radiology, Soonchunhyang University, Cheonan Hospital, 23-20 Bongmyeong-Dong, Cheonan-Si, Chungcheongnam 330-721, Republic of Korea. khcppp@empal.com
Hyun Cheol
HC
Kim
Hyeong Cheol
HC
Shin
Seong Jin
SJ
Park
Sung Il
SI
Park
Hyung Hwan
HH
Kim
Won Kyung
WK
Bae
Il Young
IY
Kim
Du Shin
DS
Jeong
D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D000293:Adolescent; D000328:Adult; D002648:Child; D004638:Emergency Treatment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007416:Intestinal Perforation / Q000000981:diagnostic imaging* / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000601:surgery