blunt abdominal trauma
Stumpfes
Bauchtrauma mit mesokolischer Einblutung rechts: Links oben hyperdenser Flüssigkeitssaum um die Leber und um die Milz, links Mitte fokale und diffuse Einblutung im rechten Mesocolon, links unten sagittal und rechts oben coronar beide Befunde. Rechts unten intraoperativer Situs mit großem Hämatom im Mesocolon.
Computertomographie
einer traumatisch rupturierten Nierenzyste. Man erkennt teilweise noch die Zystenmembran der ursprünglich großen Zyste, aber auch reichlich Flüssigkeit drum herum.
Isoliert
intraparenchymatöse Leberruptur nach direkter, stumpfer Gewalteinwirkung. Rippenfraktur, aber kein Pneumothorax, fast keine freie Flüssigkeit.
Review of
proximal splenic artery embolization in blunt abdominal trauma. 65 year old female undergoing celiac angiogram for upper gastrointestinal bleed. Celiac DSA showing the dorsal pancreatic artery (thin arrows) arising directly from the celiac trunk (dotted black arrow), which occurs in ~ 15% of cases. The great pancreatic artery (curved black arrow) arises from the mid portion of the splenic artery. Ideal placement of coils/plugs in proximal splenic artery embolization is between these two vessels. Transverse pancreatic artery (thick black arrow)
Review of
proximal splenic artery embolization in blunt abdominal trauma. 32 year old male in a snowmobile verses truck accident. a Celiac DSA after proximal splenic artery embolization with an AMPLATZER™ Plug (black star). Note the dorsal pancreatic artery (thin straight black arrow) originates from the common hepatic artery, a variation that occurs in approximately 20% of cases. Blood from the dorsal pancreatic artery then travels left along the transverse pancreatic artery (thick black arrows). Blood then flows retrograde up the great pancreatic artery (curved black arrow) reconstituting the mid/distal splenic artery (thick white arrow). b Subsequent image shows reconstituted flow in the mid/distal splenic artery (thick white arrow) with opacification of splenic artery branches (thin white arrows)
Review of
proximal splenic artery embolization in blunt abdominal trauma. 52 yo male status post motor vehicle accident with grade 3 splenic injury. After coils were mistakenly placed distal to the origin of the great pancreatic artery (thin white arrow a, b), splenic artery DSA shows there is reconstitution of the distal splenic artery (thin black arrows b-d) via a great pancreatic artery to transverse pancreatic artery (thick white arrow b) to caudal pancreatic artery (curved white arrow b) pathway. The caudal pancreatic artery arises from the distal third of the splenic artery (70% of cases) or an inferior polar branch of the splenic artery (30% of cases)
Preschooler
with abdominal pain that had a large mirror fall on their abdomen. Axial CT without contrast of the abdomen shows grossly unremarkable unenhanced solid organs of the abdomen without free air or free fluid.The diagnosis was incorrect CT technique without the use of intravenous contrast for the assessment of blunt abdominal trauma.
stumpfes Bauchtrauma
blunt abdominal trauma
Bauchtrauma Radiopaedia • CC-by-nc-sa 3.0 • de
Abdominal trauma is usually divided into blunt and penetrating trauma.
Findings of abdominal trauma
- haemoperitoneum
- splenic trauma: most common
- hepatic trauma
- renal trauma
- pancreatic trauma
- gastrointestinal tract (bowel) trauma:
- proximal jejunum is most commonly affected by blunt trauma, followed by the duodenum and ascending colon at the ileocecal valve region
- descending colon is only rarely involved
- less common abdominal trauma injuries:
- gallbladder
- ureter
- stomach
- adrenal
- urinary bladder trauma
- vascular trauma: abdominal aortic injury and other major abdominal and pelvic vessel injuries (e.g. inferior vena cava, renal vessels, celiac axis, superior mesenteric vessels, lumbar vessels, and iliac vessels)
- abdominal wall trauma
- diaphragmatic rupture
- retroperitoneal hemorrhage
- hypoperfusion complex
Siehe auch:
- Milzruptur
- Duodenalhämatom
- Leberverletzungen
- traumatische Magenruptur
- Pankreastrauma
- Dünndarmverletzung
- Darm- und Mesenterialverletzungen
- penetrierende Abdominalverletzungen
- Bauchtrauma
- Hämatom im Musculus psoas
und weiter:
Assoziationen und Differentialdiagnosen zu stumpfes Bauchtrauma: