Cargando…
Unenhanced Computed Tomography to Visualize Hollow Viscera and/or Mesenteric Injury After Blunt Abdominal Trauma: A Single-Institution Experience
To identify and describe the major features of unenhanced computed tomography (CT) images of blunt hollow viscera and/or mesenteric injury (BHVI/MI) and to determine the value of unenhanced CT in the diagnosis of BHVI/MI. This retrospective study included 151 patients who underwent unenhanced CT bef...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4782859/ https://www.ncbi.nlm.nih.gov/pubmed/26945375 http://dx.doi.org/10.1097/MD.0000000000002884 |
_version_ | 1782420026475675648 |
---|---|
author | Yang, Xu-Yang Wei, Ming-Tian Jin, Cheng-Wu Wang, Meng Wang, Zi-Qiang |
author_facet | Yang, Xu-Yang Wei, Ming-Tian Jin, Cheng-Wu Wang, Meng Wang, Zi-Qiang |
author_sort | Yang, Xu-Yang |
collection | PubMed |
description | To identify and describe the major features of unenhanced computed tomography (CT) images of blunt hollow viscera and/or mesenteric injury (BHVI/MI) and to determine the value of unenhanced CT in the diagnosis of BHVI/MI. This retrospective study included 151 patients who underwent unenhanced CT before laparotomy for blunt abdominal trauma between January 2011 and December 2013. According to surgical observations, patients were classified as having BHVI/MI (n = 73) or not (n = 78). Sensitivity, specificity, P values, and likelihood ratios were calculated by comparing CT findings between the 2 groups. Six significant CT findings (P < 0.05) for BHVI/MI were identified and their sensitivity and specificity values determined, as follows: bowel wall thickening (39.7%, 96.2%), mesentery thickening (46.6%, 88.5%), mesenteric fat infiltration (12.3%, 98.7%), peritoneal fat infiltration (31.5%, 87.1%), parietal peritoneum thickening (30.1%, 85.9%), and intra- or retro-peritoneal air (34.2%, 96.2%). Unenhanced CT scan was useful as an initial assessment tool for BHVI/MI after blunt abdominal trauma. Six key features on CT were correlated with BHVI/MI. |
format | Online Article Text |
id | pubmed-4782859 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-47828592016-03-24 Unenhanced Computed Tomography to Visualize Hollow Viscera and/or Mesenteric Injury After Blunt Abdominal Trauma: A Single-Institution Experience Yang, Xu-Yang Wei, Ming-Tian Jin, Cheng-Wu Wang, Meng Wang, Zi-Qiang Medicine (Baltimore) 3900 To identify and describe the major features of unenhanced computed tomography (CT) images of blunt hollow viscera and/or mesenteric injury (BHVI/MI) and to determine the value of unenhanced CT in the diagnosis of BHVI/MI. This retrospective study included 151 patients who underwent unenhanced CT before laparotomy for blunt abdominal trauma between January 2011 and December 2013. According to surgical observations, patients were classified as having BHVI/MI (n = 73) or not (n = 78). Sensitivity, specificity, P values, and likelihood ratios were calculated by comparing CT findings between the 2 groups. Six significant CT findings (P < 0.05) for BHVI/MI were identified and their sensitivity and specificity values determined, as follows: bowel wall thickening (39.7%, 96.2%), mesentery thickening (46.6%, 88.5%), mesenteric fat infiltration (12.3%, 98.7%), peritoneal fat infiltration (31.5%, 87.1%), parietal peritoneum thickening (30.1%, 85.9%), and intra- or retro-peritoneal air (34.2%, 96.2%). Unenhanced CT scan was useful as an initial assessment tool for BHVI/MI after blunt abdominal trauma. Six key features on CT were correlated with BHVI/MI. Wolters Kluwer Health 2016-03-07 /pmc/articles/PMC4782859/ /pubmed/26945375 http://dx.doi.org/10.1097/MD.0000000000002884 Text en Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-nc-sa/4.0 |
spellingShingle | 3900 Yang, Xu-Yang Wei, Ming-Tian Jin, Cheng-Wu Wang, Meng Wang, Zi-Qiang Unenhanced Computed Tomography to Visualize Hollow Viscera and/or Mesenteric Injury After Blunt Abdominal Trauma: A Single-Institution Experience |
title | Unenhanced Computed Tomography to Visualize Hollow Viscera and/or Mesenteric Injury After Blunt Abdominal Trauma: A Single-Institution Experience |
title_full | Unenhanced Computed Tomography to Visualize Hollow Viscera and/or Mesenteric Injury After Blunt Abdominal Trauma: A Single-Institution Experience |
title_fullStr | Unenhanced Computed Tomography to Visualize Hollow Viscera and/or Mesenteric Injury After Blunt Abdominal Trauma: A Single-Institution Experience |
title_full_unstemmed | Unenhanced Computed Tomography to Visualize Hollow Viscera and/or Mesenteric Injury After Blunt Abdominal Trauma: A Single-Institution Experience |
title_short | Unenhanced Computed Tomography to Visualize Hollow Viscera and/or Mesenteric Injury After Blunt Abdominal Trauma: A Single-Institution Experience |
title_sort | unenhanced computed tomography to visualize hollow viscera and/or mesenteric injury after blunt abdominal trauma: a single-institution experience |
topic | 3900 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4782859/ https://www.ncbi.nlm.nih.gov/pubmed/26945375 http://dx.doi.org/10.1097/MD.0000000000002884 |
work_keys_str_mv | AT yangxuyang unenhancedcomputedtomographytovisualizehollowvisceraandormesentericinjuryafterbluntabdominaltraumaasingleinstitutionexperience AT weimingtian unenhancedcomputedtomographytovisualizehollowvisceraandormesentericinjuryafterbluntabdominaltraumaasingleinstitutionexperience AT jinchengwu unenhancedcomputedtomographytovisualizehollowvisceraandormesentericinjuryafterbluntabdominaltraumaasingleinstitutionexperience AT wangmeng unenhancedcomputedtomographytovisualizehollowvisceraandormesentericinjuryafterbluntabdominaltraumaasingleinstitutionexperience AT wangziqiang unenhancedcomputedtomographytovisualizehollowvisceraandormesentericinjuryafterbluntabdominaltraumaasingleinstitutionexperience |