TY - JOUR
T1 - Penetrating wounds to the torso
T2 - Evaluation with triple-contrast multidetector CT
AU - Diego Lozano, J.
AU - Munera, Felipe
AU - Anderson, Stephan W.
AU - Soto, Jorge A.
AU - Menias, Christine O.
AU - Caban, Kim M.
PY - 2013/3
Y1 - 2013/3
N2 - Penetrating injuries account for a large percentage of visits to emergency departments and trauma centers worldwide. Emergency laparotomy is the accepted standard of care in patients with a penetrating torso injury who are not hemodynamically stable and have a clinical indication for exploratory laparotomy, such as evisceration or gastrointestinal bleeding. Continuous advances in technology have made computed tomography (CT) an indispensable tool in the evaluation of many patients who are hemodynamically stable, have no clinical indication for exploratory laparotomy, and are candidates for conservative treatment. Multidetector CT may depict the trajectory of a penetrating injury and help determine what type of intervention is necessary on the basis of findings such as active arterial extravasation and major vascular, hollow viscus, or diaphragmatic injuries. Because multidetector CT plays an increasing role in the evaluation of patients with penetrating wounds to the torso, the radiologists who interpret these studies should be familiar with the CT findings that mandate intervention.
AB - Penetrating injuries account for a large percentage of visits to emergency departments and trauma centers worldwide. Emergency laparotomy is the accepted standard of care in patients with a penetrating torso injury who are not hemodynamically stable and have a clinical indication for exploratory laparotomy, such as evisceration or gastrointestinal bleeding. Continuous advances in technology have made computed tomography (CT) an indispensable tool in the evaluation of many patients who are hemodynamically stable, have no clinical indication for exploratory laparotomy, and are candidates for conservative treatment. Multidetector CT may depict the trajectory of a penetrating injury and help determine what type of intervention is necessary on the basis of findings such as active arterial extravasation and major vascular, hollow viscus, or diaphragmatic injuries. Because multidetector CT plays an increasing role in the evaluation of patients with penetrating wounds to the torso, the radiologists who interpret these studies should be familiar with the CT findings that mandate intervention.
UR - http://www.scopus.com/inward/record.url?scp=84875187443&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84875187443&partnerID=8YFLogxK
U2 - 10.1148/rg.332125006
DO - 10.1148/rg.332125006
M3 - Article
C2 - 23479700
AN - SCOPUS:84875187443
VL - 33
SP - 341
EP - 359
JO - Radiographics
JF - Radiographics
SN - 0271-5333
IS - 2
ER -