十二指肠损伤.ppt

十二指肠壁内血肿 Traumatic duodenal intramural hematoma in a 26-year-old man who had sustained a seat belt injury in a high-speed motor vehicle collision. Abdominal CT scan obtained with oral and intravenous contrast material shows wall thickening of the third and fourth portions of the duodenum (arrows). No extraluminal air (a finding that would have suggested perforation) was seen. The patient was treated conservatively and recovered without intervention * ppt课件 十二指肠血肿 * ppt课件 十二指肠血肿 ?Large traumatic duodenal hematoma in a 49-year-old man who was involved in a motor vehicle collision. The patient was also taking anticoagulants. (a) Abdominal CT scan obtained with oral and intravenous contrast material shows a large hematoma (arrowheads) displacing the second portion of the duodenum (arrow) anteromedially and narrowing the duodenal lumen. (b) Coronal reformatted CT image depicts the full extent of the duodenal hematoma (arrowheads). * ppt课件 十二指肠降部挫伤 ?Grade I duodenal injury. Axial CT image shows thickening of the duodenal wall (arrow) in the descending part without evidence of free air. There is stranding of the peripancreatic fat. * ppt课件 十二指肠水肿 Duodenal hematoma in an 11-year-old boy who had sustained a bicycle handlebar injury. On an abdominal CT scan obtained with oral and intravenous contrast material, the third portion of the duodenum is thickened and edematous (arrowheads). No extraluminal air could be identified to suggest perforation. The patient was treated conservatively and recovered completely. * ppt课件 十二指肠降部破裂 Grade II duodenal injury. (a) Axial CT image shows an enlarged pancreatic head with mild edema (arrow) (grade I lesion). (b) CT image obtained at a lower level shows thickening of the duodenal wall in the descending part (black arrow). Adjacent to the duodenum is a small collection of extraluminal air (white arrow), which indicates a small grade II laceration of the wall. * ppt课件 十二指肠穿孔 Duodenal perforation in a 28-year-old man who sustained blunt