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Colorectal Trauma
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Blunt or penetrating injury to rectum or colon

              IMAGING

              • General Features

                • Imaging Recommendations

                  • Radiographic Findings

                    • CT Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Oosthuizen G et al: Penetrating colonic trauma and damage control surgery: anastomosis or stoma? ANZ J Surg. ePub, 2021
                                        2. Biffl WL et al: Management of colorectal injuries: a Western trauma association critical decisions algorithm. J Trauma Acute Care Surg. 85(5):1016-20, 2018
                                        3. Ahern DP et al: The management of penetrating rectal and anal trauma: A systematic review. Injury. 48(6):1133-8, 2017
                                        4. Cheong JY et al: Management of colorectal trauma: a review. ANZ J Surg. 87(7-8):547-53, 2017
                                        5. Bortolin M et al: Primary repair or fecal diversion for colorectal injuries after blast: a medical review. Prehosp Disaster Med. 29(3):317-9, 2014
                                        6. Daly B et al: Complications of optical colonoscopy: CT findings. Radiol Clin North Am. 52(5):1087-99, 2014
                                        7. Watson JD et al: Risk factors for colostomy in military colorectal trauma: a review of 867 patients. Surgery. 155(6):1052-61, 2014
                                        8. Bondia JM et al: Imaging colorectal trauma using 64-MDCT technology. Emerg Radiol. Epub ahead of print, 2009
                                        9. Anderson SW et al: Anorectal trauma: the use of computed tomography scan in diagnosis. Semin Ultrasound CT MR. 29(6):472-82, 2008
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Blunt or penetrating injury to rectum or colon

                                                    IMAGING

                                                    • General Features

                                                      • Imaging Recommendations

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Oosthuizen G et al: Penetrating colonic trauma and damage control surgery: anastomosis or stoma? ANZ J Surg. ePub, 2021
                                                                              2. Biffl WL et al: Management of colorectal injuries: a Western trauma association critical decisions algorithm. J Trauma Acute Care Surg. 85(5):1016-20, 2018
                                                                              3. Ahern DP et al: The management of penetrating rectal and anal trauma: A systematic review. Injury. 48(6):1133-8, 2017
                                                                              4. Cheong JY et al: Management of colorectal trauma: a review. ANZ J Surg. 87(7-8):547-53, 2017
                                                                              5. Bortolin M et al: Primary repair or fecal diversion for colorectal injuries after blast: a medical review. Prehosp Disaster Med. 29(3):317-9, 2014
                                                                              6. Daly B et al: Complications of optical colonoscopy: CT findings. Radiol Clin North Am. 52(5):1087-99, 2014
                                                                              7. Watson JD et al: Risk factors for colostomy in military colorectal trauma: a review of 867 patients. Surgery. 155(6):1052-61, 2014
                                                                              8. Bondia JM et al: Imaging colorectal trauma using 64-MDCT technology. Emerg Radiol. Epub ahead of print, 2009
                                                                              9. Anderson SW et al: Anorectal trauma: the use of computed tomography scan in diagnosis. Semin Ultrasound CT MR. 29(6):472-82, 2008