Blunt bowel and mesenteric injuries: The role of screening computed tomography

Ajai K. Malhotra, Timothy Fabian, Steven B. Katsis, Morris L. Gavant, Martin Croce

Research output: Contribution to journalArticle

130 Citations (Scopus)

Abstract

Background: Early generation scanners have demonstrated poor sensitivity detecting blunt bowel/mesenteric injuries (BBMI). This study was aimed at determining the accuracy and role of helical scanners in BBMI. Methods: Retrospective chart review of patients with BBMI, or computed tomographic scans suspicious of BBMI, from August of 1995 to December of 1998. Results: One hundred of 8,112 scans (1.2%) were suspicious of BBMI. Of these suspicious scans, 53 patients had BBMI (true positive-TP) and 47 patients did not (false positive-FP). Seven patients with negative scans had BBMI (false negative-FN). Computed tomography contributed toward early surgery in 77% of patients who may have been delayed. Six patients developed intra-abdominal abscess. The abscess group had a significantly longer time interval from injury to surgery. Multiple findings were seen in 57% of true positive scans, whereas in 13% of false positive scans (p < 0.0001). An algorithm for management of BBMI is presented. Conclusion: Helical scanners have high accuracy in detecting BBMI. Single versus multiple findings are useful in managing these injuries.

Original languageEnglish (US)
Pages (from-to)991-1000
Number of pages10
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume48
Issue number6
DOIs
StatePublished - Jan 1 2000

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Tomography
Wounds and Injuries
Abdominal Abscess
Abscess

All Science Journal Classification (ASJC) codes

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Blunt bowel and mesenteric injuries : The role of screening computed tomography. / Malhotra, Ajai K.; Fabian, Timothy; Katsis, Steven B.; Gavant, Morris L.; Croce, Martin.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 48, No. 6, 01.01.2000, p. 991-1000.

Research output: Contribution to journalArticle

Malhotra, Ajai K. ; Fabian, Timothy ; Katsis, Steven B. ; Gavant, Morris L. ; Croce, Martin. / Blunt bowel and mesenteric injuries : The role of screening computed tomography. In: Journal of Trauma - Injury, Infection and Critical Care. 2000 ; Vol. 48, No. 6. pp. 991-1000.
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