Traumatic bowel perforation: analysis of CT findings according to the perforation site and the elapsed time since accident.

Department of Diagnostic Radiology, Soonchunhyang University, Cheonan Hospital, 23-20 Bongmyeong-Dong, Cheonan-Si, Chungcheongnam 330-721, Republic of Korea.
Clinical Imaging (Impact Factor: 0.65). 28(5):334-9. DOI: 10.1016/S0899-7071(03)00244-4
Source: PubMed

ABSTRACT Abdominal CTs of 57 patients with bowel perforation after blunt abdominal trauma were retrospectively analyzed to determine: the diagnostic accuracy of the perforation site, and the differential findings according to the elapsed time from the trauma. Diagnostic accuracy of the perforation site was as follows: duodenum (100%), jejunum (81%), jejunoileal junction (100%), ileum (93%), and colon (20%). Extraluminal air was the only significant differential findings according to the elapsed time, and was seen more commonly on late stage of bowel perforation (P<.05).

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