OBJECTIVE: The objective was to assess the diagnostic performance of 64-multidetector computed tomography (CT) for blunt small bowel perforation (BSBP). MATERIALS AND METHODS: The study included 106 CT examinations of surgically proven blunt bowel and mesentery injuries (78 of BSBP and 28 of non-BSBP). CT diagnosis was based on detection of bowel wall discontinuity or extraluminal gas. RESULTS: Accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of CT diagnosis were 84.0%, 79.5%, 96.4%, 98.4%, and 62.8%, respectively. Bowel wall discontinuity and extraluminal gas were detected on 19.2% and 74.4% examination, respectively. CONCLUSION: CT diagnosis of BSBP is highly specific but not sensitive.
OBJECTIVE: The objective was to assess the diagnostic performance of 64-multidetector computed tomography (CT) for blunt small bowel perforation (BSBP). MATERIALS AND METHODS: The study included 106 CT examinations of surgically proven blunt bowel and mesentery injuries (78 of BSBP and 28 of non-BSBP). CT diagnosis was based on detection of bowel wall discontinuity or extraluminal gas. RESULTS: Accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of CT diagnosis were 84.0%, 79.5%, 96.4%, 98.4%, and 62.8%, respectively. Bowel wall discontinuity and extraluminal gas were detected on 19.2% and 74.4% examination, respectively. CONCLUSION: CT diagnosis of BSBP is highly specific but not sensitive.
Authors: Tyler J Loftus; Megan L Morrow; Lawrence Lottenberg; Martin D Rosenthal; Chasen A Croft; R Stephen Smith; Frederick A Moore; Scott C Brakenridge; Robert Borrego; Philip A Efron; Alicia M Mohr Journal: Am J Surg Date: 2018-11-28 Impact factor: 2.565
Authors: Christina A LeBedis; Stephan W Anderson; David D B Bates; Ramy Khalil; David Matherly; Heidi Wing; Peter A Burke; Jorge A Soto Journal: Emerg Radiol Date: 2016-02-12
Authors: Francesco Iaselli; Maria Antonietta Mazzei; Cristina Firetto; Domenico D'Elia; Nevada Cioffi Squitieri; Pietro Raimondo Biondetti; Francesco Maria Danza; Mariano Scaglione Journal: Radiol Med Date: 2015-01-09 Impact factor: 3.469