LeBedis Christina A, Anderson Stephan W, Soto Jorge A
Department of Radiology, Boston University School of Medicine, MA 02118, USA.
Radiol Clin North Am. 2012 Jan;50(1):123-36. doi: 10.1016/j.rcl.2011.08.003.
Delayed diagnosis of a bowel or mesenteric injury resulting in hollow viscus perforation leads to significant morbidity and mortality from hemorrhage, peritonitis, or abdominal sepsis. The timely diagnosis of bowel and mesenteric injuries requiring operative repair depends almost exclusively on their early detection by the radiologist on computed tomography examination, because the clinical signs and symptoms of these injuries are not specific and usually develop late. Therefore, the radiologist must be familiar with the often-subtle imaging findings of bowel and mesenteric injury that will allow for appropriate triage of a patient who has sustained blunt trauma to the abdomen or pelvis.
肠管或肠系膜损伤的延迟诊断导致空腔脏器穿孔，进而因出血、腹膜炎或腹腔感染引发显著的发病率和死亡率。对于需要手术修复的肠管和肠系膜损伤，其及时诊断几乎完全依赖于放射科医生在计算机断层扫描检查中对其早期发现，因为这些损伤的临床体征和症状并不具有特异性，且通常出现较晚。因此，放射科医生必须熟悉肠管和肠系膜损伤常常较为细微的影像学表现，以便对腹部或骨盆遭受钝性创伤的患者进行恰当的分类处理。
