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Tcnica:
Abdomen, pelvis 600 ml VO 150 ml 6 cc/s 2.5 mm 2-3 min
Trauma de Abdomen.
Trauma de Abdomen.
Liquido Libre:
Lesin rgano slido Correlacionar Evaluacin causa:
Obs. Seriadas peritonitis MDCT 4-6 h control Lavado peritoneal Laparoscopia Laparotoma
Trauma Esplnico
Grade I: Capsular avulsion, laceration, or subcapsular hematoma <1cm diameter Grade II:Laceration 13 cm deep, central/subcapsular hematoma 13 cm diameter Grade III: Laceration 310 cm deep, central/ subcapsular hematoma >3 cm diameter
Grade IV:Laceration >10 cm deep, central/ subcapsular hematoma>10 cm diameter, massive lobar maceration or devascularization
Grade V: Bilobar tissue maceration or devitalization
Laceracin:
Lineal bien definida hipodensa 2-3 das resolucin
Trauma Esplnico
Hematoma Subcapsular:
Trauma Esplnico
Trauma Esplnico
Lesiones vasculares:
Pseudoaneurismas Bien definidos Baja atenuacin Fstulas Extravasacin
Trauma Esplnico
Trauma Esplnico
Trauma Esplnico
Fase excretora
Trauma Heptico
2 causa Lobulo derecho (80%) Lob izq pncreas, duodeno 50% aisladas 70% Qx
Trauma Heptico
Contusin. Laceracin.
Liq peri heptico Cpsula intraperitoneal rea desnuda Qx: porta, venas. Cava retrohepatica 90-100% mort.
Trauma Heptico
Trauma Heptico
Grade I: Capsular avulsion, laceration <1 cm deep, subcapsular hematoma <1 cm thick Grade II:Laceration(s) 13 cm deep, intraparenchymal/ subcapsular hematoma 13 cm in diameter
Grade III: Laceration >3 cm deep, intraparenchymal/ subcapsular hematoma >3 cm in diameter
Grade IV: Intraparenchymal/subcapsular hematoma >10 cm in diameter,lobar maceration or devascularization Grade V:Bilobar maceration or devascularization
Grado I
Grado II
Grado II
Grado III
Grado IV
Grado V
Trauma heptico
Trauma Heptico
G V.
Trauma Heptico
Trauma Heptico
Trauma Heptico
Vasculares:
Pseudoaneurismas Fstulas S: 65-100% E: 76-85% Complicaciones: 10-25%
Hemorragia tarda Abscesos Biliomas (1.5-5.9%) (0.6-4%)
Complicaciones
Bilioma
Evaluation of Bowel and Mesenteric Blunt Trauma with Multidetector CT RadioGraphics 2006; 26: 1119-1131
CT: 84-94% Parcial y total 3-4 mm focal 4-6 h resolucin Extravasacin medio, CI. Discontinuidad pared. Neumoperitoneo
Hematoma mesenterico
Perf. duodenal
Trauma renal
Trauma renal
Grade IV:Laceration extending into the collecting system, main renal artery,or vein injury with contained hemorrhage
Grade V:Shattered kidney, avulsion of renal hilum with devascularized kidney
Grado I
Trauma renal
Grado II
Grado III
Grado IV
Grado V
Trauma renal
Menor: Contusiones, hematoma perin frico, subcapsular, laceraciones. Isquemia local HT Imgenes: Excretora. 1-2 min Infarto total, subtotal Lesin vascular parenquimatosa
Imaging of Renal Trauma: A Comprehensive Review RadioGraphics 2001; 21: 557.
Trauma renal
Trauma renal