EURORAD ESR

Case 9052

Intramural duodenal haematoma secondary to blunt abdominal trauma

Author(s)
Chawla S[1], Ganguly R[2], Chaudhry M[1], Prasad D[3].
Mersey School of Radiology, Royal Liverpool University Hospital, Liverpool[1]
St.Mary's Hospital, Manchester[2],
Leeds Teaching Hospital, Leeds[3].
United Kingdom.
 
Patient
female, 20 year(s)
 
 
  • Figure 1
    Contrast-enhanced abdominal CT

    Coronal reformat: mural thickening of second and third part of duodenum (arrows) in keeping with duodenal intramural haematoma. Also note the diffuse fatty change within the liver.

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 2
    Contrast-enhanced abdominal CT

    Sagittal reformat: confirms the duodenal mural thickening (arrow) demonstrated on coronal images.

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 3
    Contrast-enhanced abdominal CT

    Intramural duodenal hematoma (arrows) extending into the retroperitoneal fat (arrow heads). No extraluminal gas, free fluid or contrast extravasation is seen to suggest duodenal perforation.

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 4
    Contrast-enhanced abdominal CT
     

    Axial reformatted image: the CT attenuation values within the thickened duodenal wall are higher than that of soft tissue, in keeping with intramural haematoma.

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    Coronal reformatted image: the CT attenuation values within the thickened duodenal wall are higher than that of soft tissue, in keeping with intramural haematoma.

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
Coronal reformat: mural thickening of second and third part of duodenum (arrows) in keeping with duodenal intramural haematoma. Also note the diffuse fatty change within the liver.
 
Sagittal reformat: confirms the duodenal mural thickening (arrow) demonstrated on coronal images.
 
Intramural duodenal hematoma (arrows) extending into the retroperitoneal fat (arrow heads). No extraluminal gas, free fluid or contrast extravasation is seen to suggest duodenal perforation.
 
Axial reformatted image: the CT attenuation values within the thickened duodenal wall are higher than that of soft tissue, in keeping with intramural haematoma.
 
Coronal reformatted image: the CT attenuation values within the thickened duodenal wall are higher than that of soft tissue, in keeping with intramural haematoma.
 
 
 
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