Article: Gastric blunt traumatic injuries: A computed tomography grading classification.
2016 Volume 9, Issue 2, Page(s) 85–90
Abstract: ... In our study, we retrospectively analyzed 32 cases of blunt gastric traumatic injuries and compared computed tomography (CT) data ... Aim: To produce a radiological grading of gastric traumatic injuries.: Methods ... blunt traumatic injuries and stratify patients according to short-term outcomes. ...
| Abstract | Aim: To produce a radiological grading of gastric traumatic injuries. Methods: In our study, we retrospectively analyzed 32 cases of blunt gastric traumatic injuries and compared computed tomography (CT) data with patients' surgical or medical development. In all cases, a basal phase was acquired, and an intravenous contrast material was administered Results: We found 32 gastric traumatic injuries. In 22 patients (68.8%), the diagnosis was based on the surgical findings; in the other 10 patients (31.2%), the diagnosis was based on the clinical and CT radiological data. We observed discontinuity of the gastric wall and luminal content extravasation in 1 patient (3.1%); in 10 patients (31.2%), there was extra-luminal air in the peritoneum. In 28 patients (87.5%), there was peritoneal fluid, which was blood in 14 patients (hematoma in 11 patients and contrast material extravasation from active bleeding in 3 patients). In 15 patients (46.9%), there was gastric wall thickening. In 3 patients, it was possible to identify a prevalent involvement of the external layer of the gastric wall, whereas, in 2 patients, the inner side of the gastric wall presented with major involvement. In 3 patients (9.4%), pneumatosis of the gastric wall was detected. In 19 (59.4%) patients, the stomach was full. The fundus was the most frequently damaged part of the stomach because it was involved in 17 patients (53.1%). Based on the observed data, we identified four grades of gastric lesions. Conclusion: A radiologic score is helpful for guiding the diagnosis and management (surgical or conservative) of gastric blunt traumatic injuries and stratify patients according to short-term outcomes. |
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| Language | English |
| Publishing date | 2016-12-12 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2573705-3 |
| ISSN | 1949-8470 |
| ISSN | 1949-8470 |
| DOI | 10.4329/wjr.v9.i2.85 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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