Pelvic Trauma
Fig. 37.1 A 42 year-old female presents after motor vehicle accident. (a) Post-contrast computed tomography (CT) images of the pelvis performed during the arterial phase shows focal active hemorrhage (arrow)…
Chest Trauma: Blunt Aortic and Cardiac Trauma
Fig. 38.1 Chest radiograph demonstrates typical findings associated with aortic injury: downward displacement of the left mainstem bronchus (a), right sided displacement of the esophagus with nasogastric tube shifted to…
Penetrating Abdominal Trauma
Fig. 36.1 A 23 year-old male presents with pain after sustaining a gunshot wound to the upper abdomen. (a) Post contrast computed tomography (CT) shows the tract of the bullet;…
The Pregnant Trauma Patient
Fig. 43.1 (a) Transverse image from a pelvic ultrasound (US) shows a normal-appearing placenta (asterisk). (b) In a different patient, the US shows a focal hemorrhage (arrows) within the placenta…
Vascular Trauma
Penetrating injury Contrast extravasation or false aneurysm formation Adventitial or medial tear without an intimal injury Blood flow deviation due to large hematoma, or vascular spasm Blunt injury Caused by…
Intra-abdominal Hypertension
Fig. 33.1 Radiograph of a gasless abdomen and elevated right hemidiaphragm (black arrow) Ultrasound Ultrasound cannot rule intra-abdominal hypertension out. However, a useful indicator of increased intraabdominal pressure is elevated…
Acute Kidney Injury
Fig. 31.1 (a) Ultrasound of right kidney shows dilated pelvicalyceal system in keeping with hydronephrosis. (b) Fluoroscopic image following insertion of a percutaneous nephrostomy shows contrast medium within the decompressed…
Spinal Cord Injury
Fig. 41.1 Magnetic Resonance Imaging sagittal T2 through the cervical spine demonstrating traumatic disc protrusions (solid black arrow), long segment cord edema (open arrow), focal cord hemorrhage, and extensive posterior…
Large Volume Diarrhea
Fig. 34.1 Intraoperative photograph of colon resection for C. difficile associated disease Fig. 34.2 Resected specimen of total abdominal colectomy for C. difficile induced toxic megacolon Imaging Techniques Abdominal imaging…
Angiography
Fig. 5.1 Digital subtraction angiography. A mask image (a) is obtained, contrast medium administered (b) and a subtracted image (c) produced to highlight (in this case) the superficial femoral artery…
