Specific Radiological Findings of Traumatic Gastrointestinal Tract Injuries in Patients With Blunt Chest and Abdominal Trauma

Can Assoc Radiol J. 2015 May;66(2):158-63. doi: 10.1016/j.carj.2014.11.003. Epub 2015 Feb 20.

Abstract

Gastrointestinal hollow viscus injury after blunt chest and abdominal trauma is uncommon and complicates 0.6%-1.2% of all cases of trauma. Early recognition of such injuries significantly decreases morbidity and mortality. Since physical examination is not accurate in detecting such injuries, contrast-enhanced computed tomography has been the mainstay for diagnosis in many emergency departments. This pictorial essay aims to review the incidence, mechanisms, and signs of gastrointestinal hollow viscus injuries in the setting of blunt chest and abdominal trauma.

Keywords: Blunt trauma; Computed tomography; Gastrointestinal tract; Hollow viscus injury.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Abdominal Injuries / complications
  • Colon / diagnostic imaging
  • Colon / injuries
  • Contrast Media
  • Esophagus / diagnostic imaging
  • Esophagus / injuries
  • Gastrointestinal Tract / diagnostic imaging*
  • Gastrointestinal Tract / injuries*
  • Hematoma / diagnostic imaging
  • Hemoperitoneum / diagnostic imaging
  • Humans
  • Incidence
  • Intestine, Small / diagnostic imaging
  • Intestine, Small / injuries
  • Pneumoperitoneum / diagnostic imaging
  • Rectum / diagnostic imaging
  • Rectum / injuries
  • Stomach / diagnostic imaging
  • Stomach / injuries
  • Thoracic Injuries / complications
  • Tomography, X-Ray Computed
  • Wounds, Nonpenetrating / diagnostic imaging*
  • Wounds, Nonpenetrating / epidemiology*

Substances

  • Contrast Media