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Blunt Duodenal Rupture

Complementary Roles of Sonography and CT

Elaine Yutan1, Gayle M. Waitches2 and Riyad Karmy-Jones1

1 Department of Surgery, Harboriview Medical Center, University of Washington School of Medicine, Box 359728, 325 Ninth Ave., Seattle, WA 98104.
2 Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA 98104.



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  		Fig. 1A. —19-year-old man after motor vehicle collision. IV contrast—enhanced helical CT scan of abdomen reveals disruption of lateral wall of junction of second and third portions of duodenum, consistent with mural laceration. Note combination of accompanying duodenal wall thickening (arrowheads) and intra- and extraluminal fluid (arrow).

 


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  		Fig. 1B. —19-year-old man after motor vehicle collision. IV contrast—enhanced helical CT scan of abdomen reveals linear low-attenuation laceration (arrowheads) in right lobe of liver, extending to gallbladder fossa.

 

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