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Bowel Injury
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Contusion, hematoma; perforation, laceration, tear, enterotomy, transection

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Ellison AM et al: Use of oral contrast for abdominal computed tomography in children with blunt torso trauma. Ann Emerg Med. 66(2):107-114.e4, 2015
                                          2. Iaselli F et al: Bowel and mesenteric injuries from blunt abdominal trauma: a review. Radiol Med. 120(1):21-32, 2015
                                          3. Borgialli DA et al: Association between the seat belt sign and intra-abdominal injuries in children with blunt torso trauma in motor vehicle collisions. Acad Emerg Med. 21(11):1240-8, 2014
                                          4. Fischerauer EE et al: Paediatric and adolescent traumatic gastrointestinal injuries: results of a European multicentre analysis. Acta Paediatr. 102(10):977-81, 2013
                                          5. Khasawneh R et al: CT findings in pediatric blunt intestinal injury. Emerg Radiol. 20(6):545-52, 2013
                                          6. Letton RW et al: Delay in diagnosis and treatment of blunt intestinal injury does not adversely affect prognosis in the pediatric trauma patient. J Pediatr Surg. 45(1):161-5; discussion 166, 2010
                                          7. Paris C et al: Predictive indicators for bowel injury in pediatric patients who present with a positive seat belt sign after motor vehicle collision. J Pediatr Surg. 45(5):921-4, 2010
                                          8. Thompson SR et al: Perforating small bowel injuries in children: influence of time to operation on outcome. Injury. 36(9):1029-33, 2005
                                          9. Bruny JL et al: Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 13(2):112-8, 2004
                                          10. Canty TG Sr et al: Injuries of the gastrointestinal tract from blunt trauma in children: a 12-year experience at a designated pediatric trauma center. J Trauma. 46(2):234-40, 1999
                                          11. Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
                                          12. Weinberg, J et al: Penetrating injuries to the stomach, duodenum, and small bowel. Current Trauma Reports. 1.2:107-112, 2015
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Contusion, hematoma; perforation, laceration, tear, enterotomy, transection

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • Fluoroscopic Findings

                                                        • CT Findings

                                                          • Ultrasonographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Ellison AM et al: Use of oral contrast for abdominal computed tomography in children with blunt torso trauma. Ann Emerg Med. 66(2):107-114.e4, 2015
                                                                                  2. Iaselli F et al: Bowel and mesenteric injuries from blunt abdominal trauma: a review. Radiol Med. 120(1):21-32, 2015
                                                                                  3. Borgialli DA et al: Association between the seat belt sign and intra-abdominal injuries in children with blunt torso trauma in motor vehicle collisions. Acad Emerg Med. 21(11):1240-8, 2014
                                                                                  4. Fischerauer EE et al: Paediatric and adolescent traumatic gastrointestinal injuries: results of a European multicentre analysis. Acta Paediatr. 102(10):977-81, 2013
                                                                                  5. Khasawneh R et al: CT findings in pediatric blunt intestinal injury. Emerg Radiol. 20(6):545-52, 2013
                                                                                  6. Letton RW et al: Delay in diagnosis and treatment of blunt intestinal injury does not adversely affect prognosis in the pediatric trauma patient. J Pediatr Surg. 45(1):161-5; discussion 166, 2010
                                                                                  7. Paris C et al: Predictive indicators for bowel injury in pediatric patients who present with a positive seat belt sign after motor vehicle collision. J Pediatr Surg. 45(5):921-4, 2010
                                                                                  8. Thompson SR et al: Perforating small bowel injuries in children: influence of time to operation on outcome. Injury. 36(9):1029-33, 2005
                                                                                  9. Bruny JL et al: Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 13(2):112-8, 2004
                                                                                  10. Canty TG Sr et al: Injuries of the gastrointestinal tract from blunt trauma in children: a 12-year experience at a designated pediatric trauma center. J Trauma. 46(2):234-40, 1999
                                                                                  11. Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
                                                                                  12. Weinberg, J et al: Penetrating injuries to the stomach, duodenum, and small bowel. Current Trauma Reports. 1.2:107-112, 2015