Multidetector CT of blunt traumatic venous injuries in the chest, abdomen, and pelvis

• Published in: Radiographics Vol. 31; no. 5; p. 1415
• Main Authors: Holly, Brian P, Steenburg, Scott D
• Format: Journal Article
• Language: English
• Published: United States 01.09.2011
• Subjects: Abdominal Injuries - diagnostic imaging; Clinical Protocols; Contrast Media; Humans; Image Processing, Computer-Assisted - methods; Multidetector Computed Tomography - methods; Pelvis - diagnostic imaging; Pelvis - injuries; Phlebography - instrumentation; Phlebography - methods; Thoracic Injuries - diagnostic imaging; Veins - injuries; Wounds and Injuries - diagnostic imaging; Wounds, Nonpenetrating - diagnostic imaging
• ISSN: 1527-1323
• DOI: 10.1148/rg.315105221

Venous injuries as a result of blunt trauma are rare. Even though current protocols for multidetector computed tomography (CT) of patients with trauma are designed to evaluate primarily the solid organs and arteries, blunt venous injuries may nevertheless be identified, or at least suspected, on the basis of the multidetector CT findings. Venous injuries are associated with high morbidity and mortality rates. Diagnosis of a possible venous injury is crucial because the physical findings of a venous injury are nonspecific and may be absent. This article aims to make the radiologist aware of various venous injuries caused by blunt trauma and to provide helpful hints to aid in the identification of venous injuries. Multidetector CT technology, in combination with interactive manipulation of the raw dataset, can be useful in the creation of multiplanar reconstructed images and in the identification of a venous injury caused by blunt trauma. Familiarity with direct and indirect signs of venous injuries, as well as with examples of blunt traumatic venous injuries in the chest, abdomen, and pelvis, will help in the diagnosis of these injuries.