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Mesenteric and Small Bowel Trauma
Atif Zaheer, MD; 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. Wadhwa M et al: Blunt abdominal trauma with hollow viscus and mesenteric injury: a prospective study of 50 cases. Cureus. 13(2):e13321, 2021
                                            2. Firetto MC et al: Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management. Emerg Radiol. 25(5):461-7, 2018
                                            3. Heiken JP et al: Emergency radiology of the abdomen and pelvis: imaging of the non-traumatic and traumatic acute abdomen. In: Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging. Cham (CH): Springer; 2018
                                            4. Cinquantini F et al: Educational review of predictive value and findings of computed tomography scan in diagnosing bowel and mesenteric injuries after blunt trauma: correlation with trauma surgery findings in 163 patients. Can Assoc Radiol J. 68(3):276-85, 2017
                                            5. Barnett RE et al: Small bowel trauma: current approach to diagnosis and management. Am Surg. 80(12):1183-91, 2014
                                            6. 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):701-4, 2014
                                            7. Steenburg SD et al: Multi-detector CT of blunt mesenteric injuries: usefulness of imaging findings for predicting surgically significant bowel injuries. Abdom Imaging. 40(5):1026-33, 2014
                                            8. 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
                                            9. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                            10. Hanks PW et al: Blunt injury to mesentery and small bowel: CT evaluation. Radiol Clin North Am. 41(6):1171-82, 2003
                                            11. Hawkins AE et al: Evaluation of bowel and mesenteric injury: role of multidetector CT. Abdom Imaging. 28(4):505-14, 2003
                                            12. Butela ST et al: Performance of CT in detection of bowel injury. AJR Am J Roentgenol. 176(1):129-35, 2001
                                            13. 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
                                            14. Federle MP: Diagnosis of intestinal injuries by computed tomography and the use of oral contrast medium. Ann Emerg Med. 31(6):769-71, 1998
                                            15. Levine CD et al: CT findings of bowel and mesenteric injury. J Comput Assist Tomogr. 21(6):974-9, 1997
                                            16. 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. Wadhwa M et al: Blunt abdominal trauma with hollow viscus and mesenteric injury: a prospective study of 50 cases. Cureus. 13(2):e13321, 2021
                                                                                      2. Firetto MC et al: Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management. Emerg Radiol. 25(5):461-7, 2018
                                                                                      3. Heiken JP et al: Emergency radiology of the abdomen and pelvis: imaging of the non-traumatic and traumatic acute abdomen. In: Diseases of the Abdomen and Pelvis 2018-2021: Diagnostic Imaging. Cham (CH): Springer; 2018
                                                                                      4. Cinquantini F et al: Educational review of predictive value and findings of computed tomography scan in diagnosing bowel and mesenteric injuries after blunt trauma: correlation with trauma surgery findings in 163 patients. Can Assoc Radiol J. 68(3):276-85, 2017
                                                                                      5. Barnett RE et al: Small bowel trauma: current approach to diagnosis and management. Am Surg. 80(12):1183-91, 2014
                                                                                      6. 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):701-4, 2014
                                                                                      7. Steenburg SD et al: Multi-detector CT of blunt mesenteric injuries: usefulness of imaging findings for predicting surgically significant bowel injuries. Abdom Imaging. 40(5):1026-33, 2014
                                                                                      8. 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
                                                                                      9. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                                                                      10. Hanks PW et al: Blunt injury to mesentery and small bowel: CT evaluation. Radiol Clin North Am. 41(6):1171-82, 2003
                                                                                      11. Hawkins AE et al: Evaluation of bowel and mesenteric injury: role of multidetector CT. Abdom Imaging. 28(4):505-14, 2003
                                                                                      12. Butela ST et al: Performance of CT in detection of bowel injury. AJR Am J Roentgenol. 176(1):129-35, 2001
                                                                                      13. 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
                                                                                      14. Federle MP: Diagnosis of intestinal injuries by computed tomography and the use of oral contrast medium. Ann Emerg Med. 31(6):769-71, 1998
                                                                                      15. Levine CD et al: CT findings of bowel and mesenteric injury. J Comput Assist Tomogr. 21(6):974-9, 1997
                                                                                      16. Nghiem HV et al: CT of blunt trauma to the bowel and mesentery. AJR Am J Roentgenol. 160(1):53-8, 1993