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Mesenteric and Small Bowel Trauma
Michael P. Federle, MD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Injury to mesentery &/or small intestine

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • Ultrasonographic Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      • Associated Injuries

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Barnett RE et al: Small bowel trauma: current approach to diagnosis and management. Am Surg. 80(12):1183-91, 2014
                                            2. Honaker D et al: Blunt traumatic abdominal wall hernias: Associated injuries and optimal timing and method of repair. J Trauma Acute Care Surg. 77(5):701-704, 2014
                                            3. Steenburg SD et al: Multi-detector CT of blunt mesenteric injuries: usefulness of imaging findings for predicting surgically significant bowel injuries. Abdom Imaging. ePub, 2014
                                            4. Ekeh AP et al: Diagnosis of blunt intestinal and mesenteric injury in the era of multidetector CT technology--are results better? J Trauma. 65(2):354-9, 2008
                                            5. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                            6. Hanks PW et al: Blunt injury to mesentery and small bowel: CT evaluation. Radiol Clin North Am. 41(6):1171-82, 2003
                                            7. Hawkins AE et al: Evaluation of bowel and mesenteric injury: role of multidetector CT. Abdom Imaging. 28(4):505-14, 2003
                                            8. Butela ST et al: Performance of CT in detection of bowel injury. AJR Am J Roentgenol. 176(1):129-35, 2001
                                            9. Brody JM et al: CT of blunt trauma bowel and mesenteric injury: typical findings and pitfalls in diagnosis. Radiographics. 20(6):1525-36; discussion 1536-7, 2000
                                            10. Federle MP: Diagnosis of intestinal injuries by computed tomography and the use of oral contrast medium. Ann Emerg Med. 31(6):769-71, 1998
                                            11. Levine CD et al: CT findings of bowel and mesenteric injury. J Comput Assist Tomogr. 21(6):974-9, 1997
                                            12. Nghiem HV et al: CT of blunt trauma to the bowel and mesentery. AJR Am J Roentgenol. 160(1):53-8, 1993
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Injury to mesentery &/or small intestine

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • Fluoroscopic Findings

                                                          • CT Findings

                                                            • Ultrasonographic Findings

                                                              • Angiographic Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                • Associated Injuries

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Barnett RE et al: Small bowel trauma: current approach to diagnosis and management. Am Surg. 80(12):1183-91, 2014
                                                                                      2. Honaker D et al: Blunt traumatic abdominal wall hernias: Associated injuries and optimal timing and method of repair. J Trauma Acute Care Surg. 77(5):701-704, 2014
                                                                                      3. Steenburg SD et al: Multi-detector CT of blunt mesenteric injuries: usefulness of imaging findings for predicting surgically significant bowel injuries. Abdom Imaging. ePub, 2014
                                                                                      4. Ekeh AP et al: Diagnosis of blunt intestinal and mesenteric injury in the era of multidetector CT technology--are results better? J Trauma. 65(2):354-9, 2008
                                                                                      5. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                                                                      6. Hanks PW et al: Blunt injury to mesentery and small bowel: CT evaluation. Radiol Clin North Am. 41(6):1171-82, 2003
                                                                                      7. Hawkins AE et al: Evaluation of bowel and mesenteric injury: role of multidetector CT. Abdom Imaging. 28(4):505-14, 2003
                                                                                      8. Butela ST et al: Performance of CT in detection of bowel injury. AJR Am J Roentgenol. 176(1):129-35, 2001
                                                                                      9. Brody JM et al: CT of blunt trauma bowel and mesenteric injury: typical findings and pitfalls in diagnosis. Radiographics. 20(6):1525-36; discussion 1536-7, 2000
                                                                                      10. Federle MP: Diagnosis of intestinal injuries by computed tomography and the use of oral contrast medium. Ann Emerg Med. 31(6):769-71, 1998
                                                                                      11. Levine CD et al: CT findings of bowel and mesenteric injury. J Comput Assist Tomogr. 21(6):974-9, 1997
                                                                                      12. Nghiem HV et al: CT of blunt trauma to the bowel and mesentery. AJR Am J Roentgenol. 160(1):53-8, 1993