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Case report highlighting how wound path identification on CT can help identify organ damage in abdominal blast injuries.

Abstract

Penetrating trauma is frequently encountered in forward deployed military combat hospitals. Abdominal blast injuries represent nearly 11% of combat injuries, and multiplanar computed tomography imaging is optimal for injury assessment and surgical planning. We describe a multiplanar approach to assessment of blast and ballistic injuries, which allows for more expeditious detection of missile tracts and damage caused along the path. Precise delineation of the trajectory path and localization of retained fragments enables time-saving and detailed evaluation of associated tissue and vascular injury. For consistent and reproducible documentation of fragment locations in the body, we propose a localization scheme based on Cartesian coordinates to report 3-dimensional locations of fragments and demonstrating the application in three cases of abdominal blast injury.

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  • Aggregator Full Text
  • Authors

    Fischer TV, Folio LR, Backus CE, Bunger R

    Source

    Military medicine 177:1 2012 Jan pg 101-7

    MeSH

    Abdominal Injuries
    Blast Injuries
    Child
    Humans
    Patient Care Planning
    Radiographic Image Interpretation, Computer-Assisted
    Tomography, X-Ray Computed
    Triage

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    22338990