Small bowel injuries can be very difficult to diagnose because the actual studies have limitations. Abdominal Plain radiographs have very low sensitivity, and have high false negatives, so it’s not the ideal study to diagnose small bowel injuries. The Palabras clave: Lesiones, intestino delgado, trauma contuso, abdomen, diagnostico.

/pdf/lesiones-contusas-de-intestino-delgado-un-problema-283awt3vaf.pdf

Lesiones contusas de intestino delgado. Un problema diagnóstico

OBJECTIVE. The objective of our study was to identify relevant and reliable CT signs of bowel injury, to determine the overall performance of CT in detection of bowel injuries, and to establish the effect of the training level of radiologists on this performance.MATERIALS AND METHODS. Abdominal CT scans of 112 patients with blunt abdominal trauma were prospectively and retrospectively reviewed. Fifty patients had proven bowel injuries (with or without other visceral injuries), whereas 62 patients had no bowel injury and comprised the comparison or control group. Thirty-one of the 62 patients in the comparison group had surgical proof of abdominal but not bowel or mesenteric injuries. The retrospective review of the 112 CT scans was performed randomly and individually by nine radiologists unaware of the diagnosis, including three faculty abdominal radiologists, three senior residents in training, and three junior residents in training. Individual performance and group performance were evaluated by receiver...

https://www.ajronline.org/doi/pdf/10.2214/ajr.176.1.1760129

Performance of CT in detection of bowel injury.

Study Design Resident's case problem. Background Identifying stress fractures of the hip can be a challenging differential diagnosis. Pain presentation is not always predictable and radiographs may not show the fracture, especially during its early stages. Hip stress fractures left untreated can displace and necessitate open reduction internal fixation or total hip arthroplasty. Diagnosis A 70-year-old woman presented to the physical therapy clinic with complaints of right hip pain. She had been evaluated by a physician and radiographs of the hip, which revealed some arthritic changes, were otherwise normal. Upon examination, the physical therapist observed an antalgic gait, a noncapsular pattern of limitation of hip motion, an empty painful end feel at the end range of motion (ROM) for hip abduction, external rotation, and flexion, and extreme tenderness to palpation over the anterior hip region. The therapist suspected a more pernicious problem than osteoarthritis and discussed his suspicion with the ph...

https://www.jospt.org/doi/pdfplus/10.2519/jospt.2006.36.2.80

Differential diagnosis of a femoral neck/head stress fracture.

Injuries to the bowel and mesentery are found in approximately 5% of patients undergoing laparotomy following blunt trauma. Helical CT is the imaging modality of choice for evaluating patients following blunt abdominal trauma. The sensitivity of CT scanning for detecting traumatic bowel injury range

Helical CT Evaluation of Traumatic Bowel and Mesenteric Injuries

Groin Pain in Athletes: Evaluation with Magnetic Resonance Imaging

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Helical CT Evaluation of Traumatic Bowel and Mesenteric Injuries

Groin Pain in Athletes: Evaluation with Magnetic Resonance Imaging