Bowel injuries

  • Mostly - in penetrating trauma.
  • Less common - after blunt trauma.
  • Features of peritonitis will be evident.

CT scan:

  • free air in peritoneum
  • contrast leak.

Rx:

  • Small bowel: Suture repair
  • Colon: Suture repair ± proximal colostomy

(Image: Bowel injuries CT: contrast leak (C) & free air Intraoperative)