Mesenteric Injury



Mesenteric Injury


Ho Chia Ming

Ellie R. Lee



CLINICAL HISTORY

61-year-old man with severe abdominal trauma from a motor vehicle accident.






FIGURE 55A






FIGURE 55B


FINDINGS

Figure 55A: Axial contrast-enhanced CT image performed in the portal venous phase demonstrates active extravasation of contrast from an ileocolic arterial branch into the mesentery, showing similar attenuation with the contrast within the vessel lumen. Mesenteric hematoma with high attenuation is identified (arrow). Figure 55B: Delayed axial contrast-enhanced CT image at the same level demonstrates increased density and size of the mesenteric hematoma, indicating acute mesenteric injury and active bleeding (arrow).


DIFFERENTIAL DIAGNOSIS

Mesenteric injury, bowel injury, renal or ureteral injury.

Jun 30, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Mesenteric Injury
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