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

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Trauma to duodenum resulting in intramural hematoma or laceration

            IMAGING

            • General Features

              • Radiographic Findings

                • Fluoroscopic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Angiographic 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. Shin D et al: Imaging of gastrointestinal tract perforation. Radiol Clin North Am. 58(1):19-44, 2020
                                                2. Cho HS et al: Multidetector CT findings of bowel transection in blunt abdominal trauma. Korean J Radiol. 14(4):607-15, 2013
                                                3. Singh S et al: Blunt duodenal trauma. J Coll Physicians Surg Pak. 23(5):350-2, 2013
                                                4. Thompson CM et al: Revisiting the pancreaticoduodenectomy for trauma: a single institution's experience. J Trauma Acute Care Surg. 75(2):225-8, 2013
                                                5. LeBedis CA et al: CT imaging of blunt traumatic bowel and mesenteric injuries. Radiol Clin North Am. 50(1):123-36, 2012
                                                6. Thomas M et al: Isolated duodenal rupture due to go-karting accidents--braking news. Ann R Coll Surg Engl. 91(4):340-3, 2009
                                                7. Yagan N et al: Extension of air into the right perirenal space after duodenal perforation: CT findings. Radiology. 250(3):740-8, 2009
                                                8. Bozkurt B et al: Operative approach in traumatic injuries of the duodenum. Acta Chir Belg. 106(4):405-8, 2006
                                                9. Clendenon JN et al: Management of duodenal injuries in children. J Pediatr Surg. 39(6):964-8, 2004
                                                10. Desai KM et al: Blunt duodenal injuries in children. J Trauma. 54(4):640-5; discussion 645-6, 2003
                                                11. Zissin R et al: Pictorial review. CT of duodenal pathology. Br J Radiol. 75(889):78-84, 2002
                                                12. Degiannis E et al: Duodenal injuries. Br J Surg. 87(11):1473-9, 2000
                                                13. Stevens A et al: Duodenal trauma. Aust N Z J Surg. 57(10):709-13, 1987
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Definitions

                                                            • Trauma to duodenum resulting in intramural hematoma or laceration

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • Fluoroscopic Findings

                                                                • CT Findings

                                                                  • MR Findings

                                                                    • Ultrasonographic Findings

                                                                      • Angiographic 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. Shin D et al: Imaging of gastrointestinal tract perforation. Radiol Clin North Am. 58(1):19-44, 2020
                                                                                              2. Cho HS et al: Multidetector CT findings of bowel transection in blunt abdominal trauma. Korean J Radiol. 14(4):607-15, 2013
                                                                                              3. Singh S et al: Blunt duodenal trauma. J Coll Physicians Surg Pak. 23(5):350-2, 2013
                                                                                              4. Thompson CM et al: Revisiting the pancreaticoduodenectomy for trauma: a single institution's experience. J Trauma Acute Care Surg. 75(2):225-8, 2013
                                                                                              5. LeBedis CA et al: CT imaging of blunt traumatic bowel and mesenteric injuries. Radiol Clin North Am. 50(1):123-36, 2012
                                                                                              6. Thomas M et al: Isolated duodenal rupture due to go-karting accidents--braking news. Ann R Coll Surg Engl. 91(4):340-3, 2009
                                                                                              7. Yagan N et al: Extension of air into the right perirenal space after duodenal perforation: CT findings. Radiology. 250(3):740-8, 2009
                                                                                              8. Bozkurt B et al: Operative approach in traumatic injuries of the duodenum. Acta Chir Belg. 106(4):405-8, 2006
                                                                                              9. Clendenon JN et al: Management of duodenal injuries in children. J Pediatr Surg. 39(6):964-8, 2004
                                                                                              10. Desai KM et al: Blunt duodenal injuries in children. J Trauma. 54(4):640-5; discussion 645-6, 2003
                                                                                              11. Zissin R et al: Pictorial review. CT of duodenal pathology. Br J Radiol. 75(889):78-84, 2002
                                                                                              12. Degiannis E et al: Duodenal injuries. Br J Surg. 87(11):1473-9, 2000
                                                                                              13. Stevens A et al: Duodenal trauma. Aust N Z J Surg. 57(10):709-13, 1987