PLAIN FILMS EVALUATION IN PATIENTS WITH JEJUNAL INJURY BY BLUNT ABDOMINAL TRAUMA

Authors

  • Patchrin PEKANAN Department of Radiology, Ramathibodi Hospital
  • Rachanee SINSAWATJAROEN Department of Radiology, Haatyai Hospital
  • Auichai KARNJANAPITAK Department of Surgery, Ramathibodi Hospital

Abstract

Roentgen findings in 10 cases of jejunal injury by blunt abdominal trauma were retrospectively reviewed. Free fluid, free air, small bowel rigidity, dilatation of the duode- nal loop, dilatation of the stomach and the normal gas pattern was seen. Free fluid was present in 60% of cases, free air in 30% of cases and normal gas pattern in 40% of cases. Small bowel rigidity and dilated duodenal loop occurred in association with the injury to the small bowel and the duodenal loop respectively. But the gastric dilatation did not indicate gastric injury. Without solid organ injury, the presence of free fluid should arouse the suspicion of the bowel injury. Lack of positive findings on plain films of the abdo- men did not exclude bowel injury. Jejunal perforation occurred in the sites far from the fixed region in 50% of cases.

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References

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Published

2023-04-08

How to Cite

1.
PEKANAN P, SINSAWATJAROEN R, KARNJANAPITAK A. PLAIN FILMS EVALUATION IN PATIENTS WITH JEJUNAL INJURY BY BLUNT ABDOMINAL TRAUMA. ASEAN J Radiol [Internet]. 2023 Apr. 8 [cited 2024 Mar. 28];4(2):129-33. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/434

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