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