S. Kwauk et al., GASTROINTESTINAL PERFORATION OR VASCULAR INJURY - A DIAGNOSTIC DILEMMA FOR COMPUTED-TOMOGRAPHY IN BLUNT ABDOMINAL-TRAUMA, Canadian Association of Radiologists journal, 46(1), 1995, pp. 57-59
The authors describe an unconscious 20-year-old woman with Crohn's dis
ease who was examined after a motor vehicle accident. During dynamic c
omputed tomography after intravenous and oral administration of contra
st material, contrast agent was observed in the peritoneal cavity. The
source of the free contrast material was active bleeding, but it was
initially mistaken for extravasation from the bowel. Exploratory lapar
otomy revealed transection of the superior mesenteric vein.