CT evaluation of pediatric abdominal trauma: pitfalls and quandaries |
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Authors: | C L Hollingsworth G S Bisset |
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Institution: | (1) Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710, USA Tel.: + 1-9 19-6 84 72 89 Fax: + 1-9 19-6 84 71 27, US |
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Abstract: | CT of the pediatric abdomen after blunt trauma has become a widely accepted technique for evaluation of hepatic and splenic
injury. However, detection of hollow viscus and pancreatic injury remains challenging and controversial. Detection of bowel
rupture (extravasated oral contrast, bowel discontinuity), pancreatic injury (laceration, separation of fragments) and bladder
rupture may be difficult, particularly with inadequate technique and lack of vigilance. This article reviews findings associated
with several injuries which may present diagnostic pitfalls as well as technical factors relating to the administration of
enteric contrast and CT cystography. |
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Keywords: | Computed tomography (CT) in infants and children – Trauma – Intestines injuries |
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