Chirurgie und Bildgebung bei Abdominaltrauma

Sophia F. U. Blum; Karl-Heinz Schultheis; Ulrich Mödder; Michael Laniado; Hanns-Christoph Held; Andreas Krieg; Wolfram T. Knoefel; Stephan Zastrow

doi:10.1055/a-1082-8515

Allgemein- und Viszeralchirurgie up2date, Table of Contents

Allgemein- und Viszeralchirurgie up2date 2020; 14(01): 83-132
DOI: 10.1055/a-1082-8515

Notfallchirurgie

Georg Thieme Verlag KG Stuttgart · New York

Chirurgie und Bildgebung bei Abdominaltrauma

Sophia F. U. Blum

,

Karl-Heinz Schultheis

,

Ulrich Mödder

,

Michael Laniado

,

Hanns-Christoph Held

,

Andreas Krieg

,

Wolfram T. Knoefel

,

Stephan Zastrow

Abstract

All articles of this category

Bei etwa 25% der schwerverletzten Patienten ist das Abdomen mitbetroffen und ca. 10% der Todesfälle gehen auf Abdominaltraumata zurück. Bildgebende Untersuchungen sind in der Notaufnahme unmittelbar nach den initialen klinisch-diagnostischen Maßnahmen unverzichtbar, um die erforderlichen therapeutischen Konsequenzen ziehen zu können. Der Beitrag geht speziell auf die für die Kommunikation zwischen Radiologen und Chirurgen wichtigen Aspekte ein.

Schlüsselwörter

Abdominaltrauma - Chirurgie - Bildgebung - Klassifikation

Full Text

References

Literatur
1 Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology 2012; 265 (03) 678-693
2 Deutsche Gesellschaft für Unfallchirurgie (DGU), Sektion Intensiv- & Notfallmedizin, Schwerverletztenversorgung (NIS) und AUC – Akademie der Unfallchirurgie GmbH. TraumaRegister DGU®. 2013. Im Internet: http://www.dgu-online.de/fileadmin/published_content/5.Qualitaet_und_Sicherheit/PDF/2013_TR_DGU_Jahresbericht.pdf Stand: 18.03.2019
3 Richards JR, McGahan JP. Focused assessment with sonography in trauma (FAST) in 2017: What radiologists can learn. Radiology 2017; 283: 30-48
4 Moore EE, Shackford SR, Pachter HL. et al. Organ injury scaling: spleen, liver, and kidney. J Trauma 1989; 29: 1664-1666
5 Moore EE, Cogbill TH, Malangoni MA. et al. Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma 1990; 30: 1427-1429
6 Moore EE, Jurkovich GJ, Knudson MM. et al. Organ injury scaling. VI: Extrahepatic biliary, esophagus, stomach, vulva, vagina, uterus (nonpregnant), uterus (pregnant), fallopian tube, and ovary. J Trauma 1995; 39: 1069-1070
7 Moore EE, Cogbill TH, Jurkovich GJ. et al. Organ injury scaling: spleen and liver (1994 revision). J Trauma 1995; 38: 323-324
8 Mirvis SE, Whitley NO, Vainwright JR. et al. Blunt hepatic trauma in adults: CT-based classification and correlation with prognosis and treatment. Radiology 1989; 171: 27-32
9 Mirvis SE, Whitley NO, Gens DR. Blunt splenic trauma in adults: CT-based classification and correlation with prognosis and treatment. Radiology 1989; 171: 33-39
10 Desir A, Ghaye B. CT of blunt diaphragmatic rupture. Radiographics 2012; 32 (2 – 4): 477-498
11 Iochum S, Ludig T, Walter F. et al. Imaging of diaphragmatic injury: a diagnostic challenge?. Radiographics 2002; 22: S103-S116
12 Mirvis SE, Shanmuganagthan K. Imaging hemidiaphragmatic injury. Eur Radiol 2007; 17 (06) 1411-1421
13 Moore EE, Malangoni MA, Cogbill TH. et al. Organ injury scaling. IV: Thoracic vascular, lung, cardiac, and diaphragm. J Trauma 1994; 36: 299-300
14 Boscak A, Shanmuganathan K. Splenic trauma: What is new?. Radiol Clin North Am 2012; 50: 105-122
15 Anderson SW, Varghese JC, Lucey BC. et al. Blunt splenic trauma: delayed-phase CT for differentiation of active hemorrhage from contained vascular injury in patients. Radiology 2007; 243 (01) 88-95
16 Madoff DC, Denys A, Wallace MJ. et al. Splenic arterial interventions: anatomy, indications, technical considerations, and potential complications. Radiographics 2005; 25 (Suppl. 01) S191-S211
17 Deutsche Gesellschaft für Unfallchirurgie (DGU). S3-Leitlinie „Polytrauma/Schwerverletzten-Behandlung“, 07/2016. AWMF-Register Nr. 012/019. Im Internet: https://www.awmf.org/uploads/tx_szleitlinien/012-019l_S3_Polytrauma_Schwerverletzten-Behandlung_2017-08.pdf Stand: 18.03.2019
18 Feliciano DV. Surgery for liver trauma. Surg Clin North Am 1989; 69: 273-284
19 Yoon W, Jeong YY, Kim JK. et al. CT in blunt liver trauma. RadioGraphics 2005; 25 (01) 87-104
20 Matthes G, Stengel D, Seifert J. et al. Blunt liver injuries in polytrauma: results from a cohort study with the regular use of whole-body helical computed tomography. World J Surg 2003; 27: 1124-1130
21 Peitzman AB, Heil B, Rivera L. et al. Blunt splenic injury in adults: multi-institutional study of the Eastern Association for the Surgery of Trauma. J Trauma 2000; 49: 177-187
22 Shanmuganathan K, Mirvis SE. CT evaluation of the liver with acute blunt trauma. Crit Rev Diagn Imaging 1995; 36: 73-113
23 Croce MA, Fabian TC, Spiers JP. et al. Traumatic hepatic artery pseudoaneurysm with hemobilia. Am J Surg 1994; 168: 235-238
24 Ball CG, Dixon E, Kirkpatrick AW. et al. A decade of experience with injuries to the gallbladder. J Trauma Manag Outcomes 2010; 4: 3 doi:10.1186/1752-2897-4-3
25 Chastain BC, Seupaul R. Traumatic gallbladder rupture. J Emerg Med 2013; 44 (02) 474-475
26 Melamud K, LeBedis CA, Anderson SW. et al. Biliary imaging: multimodality approach to imaging of biliary injuries and their complications. Radiographics 2014; 34: 613-623
27 Patrick LE, Ball TI, Atkinson GO. et al. Pediatric blunt abdominal trauma-periponal tracking at CT. Radiology 1992; 183: 689-691
28 Shanmuganathan K, Mirvis SE. CT scan evaluation of blunt hepatic trauma. Radiol Clin North Am 1998; 36: 399-411
29 Poletti PA, Mirvis SE, Shanmuganathan K. et al. CT criteria for management of blunt liver trauma: correlation with angiographic and surgical findings. Radiology 2000; 216: 418-427
30 Beuran M, Iordache FM. Damage control surgery – new concept or reenacting of a classical idea?. J Med Life 2008; 1: 247-253
31 Carrillo EH, Spain DA, Wohltmann CD. et al. Interventional techniques are useful adjuncts in nonoperative management of hepatic injuries. J Trauma 1999; 46: 619-622
32 Goffette PP, Laterre PF. Traumatic injuries: imaging and intervention in post-traumatic complications (delayed intervention). Eur Radiol 2002; 12: 994-1021
33 Krestan CR. Abdominelles Polytrauma und Parenchymorgane. Radiologe 2014; 54: 880-885
34 Lechler P, Heeger K, Bartsch D. et al. Diagnostik und Therapie des Abdominaltraumas. Unfallchirurg 2014; 117: 249-261
35 Rekhi S, Anderson SW, Rhea JT. et al. Imaging of blunt pancreatic trauma. Emerg Radiol 2010; 17 (17) 13-19
36 Wong YC, Wang LJ, Fang JF. et al. Multidetector-row computed tomography (CT) of blunt pancreatic injuries: Can contrast-enhanced multiphasic CT detect pancreatic duct injuries?. J Trauma 2008; 64: 666-672
37 Potoka DA, Gaines BA, Leppäniemi A. et al. Management of blunt pancreatic trauma: Whatʼs new?. Eur J Trauma Emerg Surg 2015; 41: 239-250
38 Poletti PA, Wintermark M, Schnyder P. et al. Traumatic injuries: role of imaging in the management of the polytrauma victim (conservative expectation). Eur Radiol 2002; 12 (05) 969-978
39 Kozar RA, Moore JB, Niles SE. et al. Complications of nonoperative management of high-grade blunt hepatic injuries. J Trauma 2005; 59: 1066-1071
40 Lassandro F, Romano S, Rossi G. et al. Gastric traumatic injuries: CT findings. Eur J Radiol 2006; 59 (03) 349-354
41 Rizzo MJ, Federle MP, Griffiths BG. Bowel and mesenteric injury following blunt abdominal trauma: evaluation with CT. Radiology 1989; 173: 143-148
42 Brofman N, Atri M, Hanson JM. et al. Evaluation of bowel and mesenteric blunt trauma with multidetector CT. Radiographics 2006; 26 (04) 1119-1131
43 Bhagvan S, Turai M, Holden A. et al. Predicting hollow viscus injury in blunt abdominal trauma with computed tomography. World J Surg 2013; 37 (01) 123-126
44 Abdel-Aziz H, Dunham CM. Effectiveness of computed tomography scanning to detect blunt bowel and mesenteric injuries requiring surgical intervention: a systematic literature review. Am J Surg 2018; S0002-9610(18)30123-5 doi:10.1016/j.amjsurg.2018.08.018
45 Weldon DT, Burke SB, Sun S. et al. Interventional management of lower gastrointestinal bleeding. Eur Radiol 2008; 18: 857-867
46 Wah TM, Spencer J. The role of CT in the management of adult urinary tract trauma. Clin Radiol 2001; 56 (04) 268-277
47 Harris AC, Zwirewich CV, Lyburn ID. et al. CT findings in blunt renal trauma. Radiographics 2001; 21 (Spec No): S201-S214
48 Goldman SM, Sandler CM. Urogenital trauma: imaging upper GU trauma. Eur J Radiol 2004; 50 (01) 84-95
49 Heller MT, Schnor N. MDCT of renal trauma: correlation to AAST organ injury scale. Clin Imaging 2014; 38 (04) 410-417
50 Ramchandani P, Buckler PM. Imaging of genitourinary trauma. AJR Am J Roentgenol 2009; 192 (06) 1514-1523
51 Ali M, Safriel Y, Sclafani SJ. et al. CT signs of urethral injury. Radiographics 2003; 23 (04) 951-963 963–966
52 Toʼo KJ, Duddalwar V. Imaging of traumatic adrenal injury. Emerg Radiol 2012; 19 (06) 499-503
53 Lee YS, Jeong JJ, Nam KH. et al. Adrenal injury following blunt abdominal trauma. World J Surg 2010; 34 (08) 1971-1974