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Using Contrast-Enhanced Helical CT to Visualize Arterial Extravasation After Blunt Abdominal Trauma

Incidence and Organ Distribution

Dorcas C. Yao1, R. Brooke Jeffrey, Jr.1, Stuart E. Mirvis2, Arnold Weekes2, Michael P. Federle3, Connie Kim3, Michael J. Lane4, Priya Prabhakar5 and Philip W. Ralls6

1 Department of Radiology, Stanford University Medical Center, 300 Pasteur Dr., H-1307, Stanford, CA 94305-5105.
2 Department of Diagnostic Radiology, University of Maryland Medical Center, University of Maryland Hospital, 22 S. Greene St., Baltimore, MD 21201.
3 Department of Radiology, University of Pittsburgh Medical Center, 200 Lothrop St., Pittsburgh, PA 15213.
4 Department of Radiology, Brooke Army Medical Center, 3851 Roger Brooke Dr., Fort Sam Houston, TX 78234-6200.
5 Department of Radiology, Albert Einstein College of Medicine, Jack and Pearl Resnick Campus, 1300 Morris Park Ave., Bronx, NY 10461.
6 Department of Radiology, Los Angeles County/University of Southern California Medical Center, Box 631, 1200 N. State St., Los Angeles, CA 90033.



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  		Fig. 1. —56-year-old woman with blunt trauma from motor vehicle crash. Contrast-enhanced CT scan shows splenic laceration with arterial extravasation (arrow) that is isodense to abdominal aorta. Note large perisplenic hematoma.

 


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  		Fig. 2. —29-year-old man who was involved in motor vehicle crash. Contrast-enhanced CT scan reveals mesenteric arterial injury with arterial extravasation (arrow). Note extravasated contrast material is isodense compared with aorta.

 

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