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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 or hematoma vs. 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

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Mills A et al: Imaging of bowel wall thickening in the hospitalized patient. Radiol Clin North Am. 58(1):1-17, 2020
                                        2. Shin D et al: Imaging of gastrointestinal tract perforation. Radiol Clin North Am. 58(1):19-44, 2020
                                        3. Bennett AE et al: Multidetector CT imaging of bowel and mesenteric injury: review of key signs. Semin Ultrasound CT MR. 39(4):363-73, 2018
                                        4. Sugi MD et al: CT findings of acute small-bowel entities. Radiographics. 38(5):1352-69, 2018
                                        5. Bates DD et al: Multidetector CT of surgically proven blunt bowel and mesenteric injury. Radiographics. 37(2):613-25, 2017
                                        6. Schooler GR et al: Gastrointestinal tract perforation in the newborn and child: imaging assessment. Semin Ultrasound CT MR. 37(1):54-65, 2016
                                        7. Ellison AM et al: Use of oral contrast for abdominal computed tomography in children with blunt torso trauma. Ann Emerg Med. 66(2):107-14.e4, 2015
                                        8. Iaselli F et al: Bowel and mesenteric injuries from blunt abdominal trauma: a review. Radiol Med. 120(1):21-32, 2015
                                        9. Weinberg, J et al: Penetrating injuries to the stomach, duodenum, & small bowel. Current Trauma Reports. 1.2:107-12, 2015
                                        10. 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
                                        11. Fischerauer EE et al: Paediatric and adolescent traumatic gastrointestinal injuries: results of a European multicentre analysis. Acta Paediatr. 102(10):977-81, 2013
                                        12. Khasawneh R et al: CT findings in pediatric blunt intestinal injury. Emerg Radiol. 20(6):545-52, 2013
                                        13. 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
                                        14. 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
                                        15. Thompson SR et al: Perforating small bowel injuries in children: influence of time to operation on outcome. Injury. 36(9):1029-33, 2005
                                        16. Bruny JL et al: Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 13(2):112-8, 2004
                                        17. 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
                                        18. Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999
                                        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 or hematoma vs. 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

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Mills A et al: Imaging of bowel wall thickening in the hospitalized patient. Radiol Clin North Am. 58(1):1-17, 2020
                                                                              2. Shin D et al: Imaging of gastrointestinal tract perforation. Radiol Clin North Am. 58(1):19-44, 2020
                                                                              3. Bennett AE et al: Multidetector CT imaging of bowel and mesenteric injury: review of key signs. Semin Ultrasound CT MR. 39(4):363-73, 2018
                                                                              4. Sugi MD et al: CT findings of acute small-bowel entities. Radiographics. 38(5):1352-69, 2018
                                                                              5. Bates DD et al: Multidetector CT of surgically proven blunt bowel and mesenteric injury. Radiographics. 37(2):613-25, 2017
                                                                              6. Schooler GR et al: Gastrointestinal tract perforation in the newborn and child: imaging assessment. Semin Ultrasound CT MR. 37(1):54-65, 2016
                                                                              7. Ellison AM et al: Use of oral contrast for abdominal computed tomography in children with blunt torso trauma. Ann Emerg Med. 66(2):107-14.e4, 2015
                                                                              8. Iaselli F et al: Bowel and mesenteric injuries from blunt abdominal trauma: a review. Radiol Med. 120(1):21-32, 2015
                                                                              9. Weinberg, J et al: Penetrating injuries to the stomach, duodenum, & small bowel. Current Trauma Reports. 1.2:107-12, 2015
                                                                              10. 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
                                                                              11. Fischerauer EE et al: Paediatric and adolescent traumatic gastrointestinal injuries: results of a European multicentre analysis. Acta Paediatr. 102(10):977-81, 2013
                                                                              12. Khasawneh R et al: CT findings in pediatric blunt intestinal injury. Emerg Radiol. 20(6):545-52, 2013
                                                                              13. 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
                                                                              14. 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
                                                                              15. Thompson SR et al: Perforating small bowel injuries in children: influence of time to operation on outcome. Injury. 36(9):1029-33, 2005
                                                                              16. Bruny JL et al: Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 13(2):112-8, 2004
                                                                              17. 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
                                                                              18. Strouse PJ et al: CT of bowel and mesenteric trauma in children. Radiographics. 19(5):1237-50, 1999