Lauren Moomjian MD, Presenter: Nothing to Disclose

Laura R. Carucci MD, Abstract Co-Author: Nothing to Disclose

1. It is important to be aware of exam techniques and subtle findings with bowel injury to make an accurate and timely diagnosis, as missed bowel injuries can be life threatening. 2. Radiologists must also recognize complications of bowel injury to facilitate timely treatment.   Purpose: 1. To review etiologies of bowel injury including self-induced, iatrogenic, blunt or penetrating trauma 2. To describe the imaging evaluation of suspected injury to the luminal GI tract. 3. To discuss expected imaging findings of bowel injury and complications of injury and missed injury.  

• Etiologies and Sites of Bowel injury • Techniques and Modalities for imaging suspected GI tract trauma • Self-induced: Boerhaave’s, impaction, foreign body ingestion or insertion, (esophageal, rectal, small and large bowel) • Iatrogenic- surgical or endoscopic injury, migrated medical device (i.e. biliary stent causing SBO), malpositioned devices, medication-induced injury • Blunt- perforation, duodenal injury, diffuse small bowel hyperenhancement from reperfusion injury, mesenteric injury with bowel devascularization • Penetrating- focal wall thickening, discontinuity or hematoma secondary to gunshot or stab wound, colorectal injury associated with pelvic fracture • Complications of injury and missed injury - stricture, abscess, infarction   

http://abstract.rsna.org/uploads/2014/14007504/14007504_5n5l.pdf

Moomjian, L, Carucci, L, Luminal GI Injury: A Spectrum of Etiologies and Appearances.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14007504.html