A pitfall in triple contrast CT of penetrating trauma of the flank


      This brief report describes the case of a 20-year-old man who was stabbed in the left flank. He underwent triple contrast helical CT of the abdomen and pelvis that showed a hyperdense focus in the area of the stab wound. This structure was a chip fracture of pelvis, but was misinterpreted as contrast extravasation, and the patient underwent negative exploratory laparotomy.


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        • Phillips T
        • Sclafani SA
        • Goldstein A
        • et al.
        Use of the contrast-enhanced CT enema in the management of penetrating trauma to the flank and back.
        J Trauma. 1986; 26: 593-601
        • Shanmuganathan K
        • Mirvis SE
        • Chiu WC
        • Killeen KL
        • Scalea TM
        Triple-contrast helical CT in penetrating torso trauma: a prospective study to determine peritoneal violation and the need for laparotomy.
        Am J Roentgenol. 2001; 177: 1247-1256
        • Chiu WC
        • Shanmuganathan K
        • Mirvis SE
        • Scalea TM
        Determining the need for laparotomy in penetrating torso trauma: a prospective study using triple-contrast enhanced abdominopelvic computed tomography.
        J Trauma. 2001; 51: 860-869
        • Albrecht RM
        • Vigil A
        • Schermer CR
        • Demarest GB
        • Davis VH
        • Fry DE
        Stab wounds to the back/flank in hemodynamically stable patients: evaluation using triple-contrast computed tomography.
        Am Surg. 1999; 65: 683-687