GI Section 1: Luminal (Bowel Trauma)

Question 1

Direct Signs of bowel trauma

Answer 1

Spilled Oral Contrast
Active Mesenteric Bleed

Question 2

Indirect Signs

Answer 2

Fat Stranding
Fluid Layering Along the Bowel

Question 3

Shock Complex Features

Answer 3

Question 4

Answer 4

Diffuse Intense Bowel Mucosal Enhancement
Flat IVC (arrow)

Question 5

Bowel Trauma vs Shock Bowel

Focal

Answer 5

Bowel Trauma

Question 6

Bowel Trauma vs Shock Bowel

Wall Thickening with
High Attenuation Blood in the Submucosa

Answer 6

Bowel Trauma

Question 7

Bowel Trauma vs Shock Bowel

Mucosa enhances normally (or less than normal)

Answer 7

Bowel Trauma

Question 8

Bowel Trauma vs Shock Bowel

Secondary signs of injury (free air, leaked contrast, mesenteric hematoma, etc… etc… so on and so forth).

Answer 8

Bowel Trauma

Question 9

Bowel Trauma vs Shock Bowel

Diffuse

Answer 9

Shock Bowel

Question 10

Bowel Trauma vs Shock Bowel

Wall Thickening with
Near Water Attenuation Edema

Answer 10

Shock Bowel

Question 11

Bowel Trauma vs Shock Bowel

Mucosa demonstrates intense enhancement

Answer 11

Shock Bowel

Question 12

Bowel Trauma vs Shock Bowel

Other signs of shock (bright adrenals, flat IVC, etc…)

Answer 12

Shock Bowel