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CT Findings of Traumatic Bucket-Handle Mesenteric Injuries.

Jason E Extein1, Brian C Allen1, Mark L Shapiro2

  • 11 Department of Radiology, Duke University Medical School, Durham, NC 27705.

AJR. American Journal of Roentgenology
|August 24, 2017
PubMed
Summary

This study describes bucket-handle tears, a rare but dangerous mesenteric injury from blunt trauma. Early detection on CT scans is crucial to prevent poor outcomes from delayed diagnosis and treatment.

Keywords:
bowel injurylumbar herniamesenteric injuryperforationtrauma

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Area of Science:

  • Radiology
  • Trauma Surgery
  • Abdominal Imaging

Background:

  • Blunt abdominal trauma can cause significant intra-abdominal injuries.
  • Mesenteric injuries, particularly tears, pose a diagnostic challenge.
  • Bucket-handle tears represent a specific, high-risk pattern of mesenteric injury.

Purpose of the Study:

  • To characterize the CT imaging findings of bucket-handle mesenteric tears.
  • To highlight the importance of recognizing this injury pattern on computed tomography (CT).
  • To discuss the implications of CT detection for patient management.

Main Methods:

  • Review of CT scans from patients with confirmed blunt traumatic mesenteric injuries.
  • Identification and description of the characteristic "bucket-handle" morphology.
  • Correlation of imaging findings with surgical and clinical outcomes.

Main Results:

  • Bucket-handle mesenteric tears exhibit distinct CT features.
  • These injuries can be subtle and easily missed on initial review.
  • Accurate CT interpretation is vital for timely surgical intervention.

Conclusions:

  • Bucket-handle mesenteric tears are rare, life-threatening injuries.
  • CT is essential for diagnosis, but detection can be challenging.
  • Prompt diagnosis and surgical management are critical to improve outcomes.