Training Mode is OFF:
Home About Support Solutions Cases
Case Manager
Your browser may not be compatible with the full-featured viewer. Please consider switching to a recent version of Internet Explorer or Firefox.
You are currently viewing the basic HTML viewer. You can try the full viewer but some functionality may not work.
previously visited MESENTERIC INJURY Random Case
Authored By: dalia yosif, Radiologist, Kasr Aini hospital, Egypt.
Patient: 40 year old male
History: 40 year old male: ,following MVA ,his FAST exam revealed fluid colllection at both Morrison's pouch & pelvic regions,so CT exam of the abdomen & pelvis with IV contrast was the next step.
Images:[small]mediumlargeas-submittedimages only

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Fig. 6

Fig. 7

Fig. 8

Fig. 9
See Annotations

Fig. 10

Fig. 11
See Annotations

Fig. 12
See Annotations

Fig. 13

Fig. 14

Fig. 15
See Annotations

Fig. 16
Images:[small]mediumlargeas-submittedimages only
Findings:

CT exam of the abd& pelvis with IV contrast:

note the minimal perihepatic fluid collection ,right paracolic gutters,interloop& also the pelvic fluid(arrowed)

then you can compare the stranding of the mesentery at the site of the trauma(arrowed) & the other parts of the mesentery (that isn't affected),

also note the bowel loops near the area of the stranding of the mesentery are seen distended with thickened & enhanced wall

This patient was managed coservatively &had uneventful recovery....

 

Diagnosis: mesenteric injury
Discussion:

 

Mesenteric Infiltration

Mesenteric infiltration or “stranding” can be associated with mesenteric injury with or without bowel perforation , but bowel-wall thickening associated with stranding is highly suggestive of significant bowel injury . Sensitivities and specificities of 69%—77% and 44%—100%, respectively, have been reported for this sign . Mesenteric findings are more common when bowel injury is along the mesenteric border .. A localized hematoma within the mesentery in the absence of a bowel abnormality points to an isolated laceration of a mesenteric vessel .

References: radiographics
Comments: post a comment
No comments posted.
Additional Details:

Case Number: 32183285Last Updated: 11-11-2009
Rating:

1 rating
Anatomy: Gastrointestinal (GI)   Pathology: Trauma
Modality: CTAccess Level: Readable by all users

Case has been viewed 128 times.

User Guide Terms Site Map Contact Us
Powered by Horizon Study Share.   Copyright © 2009 McKesson Corporation and/or one of its subsidiaries.
Horizon Study Share is a trademark of McKesson Information Solutions LLC.

Users are fully responsible for the content of each case that they post. Text and images may be copyrighted by the case author or institution. McKesson Corp. is not responsible for any content herein, and in no way vouches for its accuracy or appropriateness. It is a violation of the user agreement to post identifiable patient information or inappropriate content. If you notice a case which is in violation of policy, please alert us using our contact form. This system is not a medical device, and is intended to be used for educational and reference purposes only. By using this system, you agree to abide by the terms and conditions of use, which precludes using this system for the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in humans or animals.