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Juerg Hodler - Diseases of the Abdomen and Pelvis 2023-2026: Diagnostic Imaging

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Juerg Hodler Diseases of the Abdomen and Pelvis 2023-2026: Diagnostic Imaging

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This open access book deals with imaging of the abdomen and pelvis, an area that has seen considerable advances over the past several years, driven by clinical as well as technological developments. The respective chapters, written by internationally respected experts in their fields, focus on imaging diagnosis and interventional therapies in abdominal and pelvic disease; they cover all relevant imaging modalities, including magnetic resonance imaging, computed tomography, ultrasound, and positron emission tomography. As such, the book offers a comprehensive review of the state of the art in imaging of the abdomen and pelvis. IDKD books are extensively re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their speciality.

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Book cover of Diseases of the Abdomen and Pelvis 2023-2026 IDKD Springer - photo 1
Book cover of Diseases of the Abdomen and Pelvis 2023-2026
IDKD Springer Series
Series Editors
Juerg Hodler
Prof. Emeritus of Radiology, University of Zrich, Zurich, Switzerland
Rahel A. Kubik-Huch
Department of Radiology, Kantonsspital Baden, Baden, Switzerland
Gustav K. von Schulthess
Prof. and Dir. Emeritus Nuclear Medicine, University Hospital, Zurich, Switzerland

The world-renowned International Diagnostic Course in Davos (IDKD) represents a unique learning experience for imaging specialists in training as well as for experienced radiologists and clinicians. IDKD reinforces his role of educator offering to the scientific community tools of both basic knowledge and clinical practice. Aim of this Series, based on the faculty of the Davos Course and now launched as open access publication, is to provide a periodically renewed update on the current state of the art and the latest developments in the field of organ-based imaging (chest, neuro, MSK, and abdominal).

Editors
Juerg Hodler , Rahel A. Kubik-Huch , Justus E. Roos and Gustav K. von Schulthess
Diseases of the Abdomen and Pelvis 2023-2026
Diagnostic Imaging
The Springer logo Editors Juerg Hodler Prof Emeritus of Radiology - photo 2

The Springer logo.

Editors
Juerg Hodler
Prof. Emeritus of Radiology, University of Zrich, Zurich, Switzerland
Rahel A. Kubik-Huch
Department of Radiology, Kantonsspital Baden, Baden, Aargau, Switzerland
Justus E. Roos
Department of Radiology, Luzerner Kantonsspital, Lucerne, Switzerland
Gustav K. von Schulthess
Prof. and Dir. Emeritus Nuclear Medicine, University Hospital of Zurich, Zurich, Switzerland
ISSN 2523-7829 e-ISSN 2523-7837 IDKD Springer Series ISBN 978-3-031-27354-4 - photo 3
ISSN 2523-7829 e-ISSN 2523-7837
IDKD Springer Series
ISBN 978-3-031-27354-4 e-ISBN 978-3-031-27355-1
https://doi.org/10.1007/978-3-031-27355-1
The Editor(s) (if applicable) and The Author(s) 2023

This book is an open access publication.

Open Access This book is licensed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/ ), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

The images or other third party material in this book are included in the book's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the book's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG

The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents
Vincent M. Mellnick and Pierre-Alexandre Poletti
Rubal Rai , Ramandeep Singh , Peter F. Hahn , Avinash Kambadakone and Richard M. Gore
Irene A. Burger and Thomas A. Hope
Ulrike Attenberger and Ins Santiago
Christina Messiou and Wolfgang G. Kunz
David Bowden and Ccilia S. Reiner
Wolfgang Schima and Dow-Mu Koh
Richard K. Do and Daniel T. Boll
Thomas K. Helmberger and Riccardo Manfredi
Isaac R. Francis and William W. Mayo-Smith
Lejla Aganovic and Dominik Nrenberg
Atul B. Shinagare and Ghaneh Fananapazir
Helen Addley and Fiona Fennessy
Yulia Lakhman and Evis Sala
Sarah Swift and Sungmin Woo
Alberto Vargas , Patrick Asbach and Bernd Hamm
James A. Brink and Brent J. Wagner
Moriyah Naama and Pablo R. Ros
Damian J. M. Tolan
Laura S. Kox , Anne M. J. B. Smets and Thierry A. G. M. Huisman
Erich Sorantin and Damien Grattan-Smith
The Author(s) 2023
J. Hodler et al. (eds.) Diseases of the Abdomen and Pelvis 2023-2026 IDKD Springer Series https://doi.org/10.1007/978-3-031-27355-1_1
1. Emergency Radiology of the Abdomen and Pelvis
Vincent M. Mellnick
(1)
Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, MO, USA
(2)
Service of Radiology, University Hospital Geneva, Geneva, Switzerland
Vincent M. Mellnick (Corresponding author)
Email:
Pierre-Alexandre Poletti
Email:
Keywords
Computed tomography Multidetector Abdominal injury FAST Abdominal trauma Trauma Appendicitis Cholecystitis Diverticulitis Bowel obstruction Bowel ischemia
1.1 Trauma Part
Pierre-Alexandre Poletti
Learning Objectives
  • To review the role and limitations of the various imaging modalities in the management of blunt abdominal trauma patients.

  • To review the imaging findings associated with blunt abdominal trauma.

  • To discuss the role of imaging in the grading systems used for the management of blunt abdominal trauma patients.

Key Points
  • Absence of free intraperitoneal fluid at FAST examination does not rule out a major traumatic visceral injury.

  • Abdominal CT protocols must include both arterial and porto-venous phases; they should be completed by delayed series if vascular or urinary tract injuries are seen on initial series.

  • Splenic post-traumatic pseudoaneurysms mandate angiographic embolization; they may develop 2472 h after trauma.

1.1.1 Role of Imaging to Assess Blunt Abdominal Polytrauma (BAT) Patients
1.1.1.1 Primary Survey

In a patient admitted with a potential abdominal trauma, a normal clinical examination has been shown insufficient per se to rule out a major intra-abdominal injury [], a FAST (focused assessment with sonography for trauma) is immediately performed, in addition to pelvic X-Ray, for the initial triage of trauma patients. Six regions are classically examined at FAST: right upper quadrant, hepatorenal fossa (Morisons pouch), left upper quadrant (subphrenic space), splenorenal recess, pelvis (Douglas recess), and pericardium.

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