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La radiologia medica

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01-12-2014 | Emergency Radiology

Emergency contrast-enhanced ultrasonography for pancreatic injuries in blunt abdominal trauma

Authors: Faqin Lv, Jie Tang, Yukun Luo, Yongkang Nie, Tong Liang, Ziyu Jiao, Zhihong Zhu, Tanshi Li

Published in: La radiologia medica | Issue 12/2014

Abstract

Purpose

The purpose of this study was to retrospectively investigate the application of emergency contrast-enhanced ultrasonography (CEUS) in blunt pancreatic trauma.

Materials and methods

Twenty-two consecutive patients with blunt pancreatic trauma were examined using CEUS from March 2007 to June 2012. The findings of CEUS were compared with those of contrast-enhanced computed tomography scans at level-1 diagnostic tests.

Results

Out of the 22 patients, 21 were diagnosed with blunt pancreatic injury using CEUS, including 8 patients with lesions in the neck of pancreas, 9 in the body, 3 in the tail and 1 in the head. The injury sites appeared as anechoic and/or hypoechoic perfusion defect regions with irregular borders in parenchyma and capsule on CEUS images. The lesion sizes measured by CEUS were 1.88 ± 0.81 cm, which were consistent with the 1.93 ± 0.77 cm measured by CT (p > 0.05). Using CT as a reference standard, the detection rate of CEUS in blunt pancreatic trauma was 95.5 % (21/22).

Conclusions

CEUS findings can be used to provide a reliable diagnosis for blunt pancreatic trauma. CEUS is thus promising in the assessment of blunt pancreatic trauma, especially in institutions where emergency CEUS is used as an initial diagnostic instrument.

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Title: Emergency contrast-enhanced ultrasonography for pancreatic injuries in blunt abdominal trauma
Authors: Faqin Lv
Jie Tang
Yukun Luo
Yongkang Nie
Tong Liang
Ziyu Jiao
Zhihong Zhu
Tanshi Li
Publication date: 01-12-2014
Publisher: Springer Milan
Published in: La radiologia medica / Issue 12/2014
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-014-0410-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Emergency contrast-enhanced ultrasonography for pancreatic injuries in blunt abdominal trauma

Abstract

Purpose

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusions

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