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).
Kim
Hyun Cheol
HC
Department of Diagnostic Radiology, Soonchunhyang University, Cheonan Hospital, 23-20 Bongmyeong-Dong, Cheonan-Si, Chungcheongnam 330-721, Republic of Korea. khcppp@empal.com
Shin
Hyeong Cheol
HC
Park
Seong Jin
SJ
Park
Sung Il
SI
Kim
Hyung Hwan
HH
Bae
Won Kyung
WK
Kim
Il Young
IY
Jeong
Du Shin
DS
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