Traumatic gastrointestinal haemorrhage

Case contributed by Dr Ian Bickle

Presentation

This young male patient presented to A & E following an RTA and was haemodynamically unstable.

Patient Data

Gender: Male

Dual Phase CT

Modality: CT

Intraperitoneal blood and contrast extravastation

Case Discussion

Triple phase study (unenhanced, arterial and portal venous phases) recommended.

High flow rate (4ml/sec) with a high volume  (150mls) of high density (350mg/ml) advised.

Needs to be performed when patient actively bleeding for accurate detection

Can detect active bleeding as low as 0.35ml/minute.

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Case Information

rID: 19184
Case created: 14th Aug 2012
Last edited: 1st Feb 2016
Inclusion in quiz mode: Included

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