Penetrating abdominal trauma (bowel and splenic injuries)

Case contributed by Ahmed Hamdy Mhsb , 8 May 2017
Diagnosis certain
Changed by Ian Bickle, 10 May 2017

Updates to Case Attributes

Title was changed:
Traumatic Colon Perforationcolonic perforation
Status changed from pending review to published (public).
Published At was set to .
Presentation was changed:
Multiple stab injury to the left side.
Body was changed:

At Surgerysurgery a splenectomy and Leftleft colon resection-anatomists with anastomosis was doneperformed.

Also,A diaphragmatic tear had beenwas also discovered and repaired.

  • -<p>At Surgery splenectomy and Left colon resection-anatomists was done</p><p>Also, diaphragmatic tear had been discovered and repaired</p>
  • +<p>At surgery a splenectomy and left colon resection with anastomosis was performed.</p><p>A diaphragmatic tear was also discovered and repaired.</p>

Updates to Study Attributes

Findings was changed:
  • Free intra-peritoneal air noted mainly anterior to the liver surface
  • Multiple deep lacerationlacerations of the spleen (Grade III AAST SpleenSplenic Injury)
  • PeriLarge peri-colic large hematoma around the decending colon exerting mass effect with lumen attenuation.
  • Subtle noted adjacent colonic wall tear.
  • Liver RTRight lobe calcificationof liver calcific foci (non-related(incidental).
  • Mild left pleural haemothorax
Images Changes:

Image CT (C+ arterial phase) ( update )

Perspective was set to Axial.

Updates to Study Attributes

Findings was changed:

Contrast leakage / Extra vasationExtravasation from the colon at the splenic flexure, indicating a perforation at this site.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.