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Table 2 CT grading and indication for surgical exploration for possible bowel injury following blunt trauma developed by Faget et al. A score of 5 or more is diagnostic of bowel injury and prompt intervention [38]

From: WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment

CT Sign

Score

Haemoperitoneum, small

1

Haemoperitoneum, abundant

3

Mesenteric pneumoperitoneum

5

Bowel wall thickness

2

Arterial mesenteric vessel extravasation

3

Mesenteric stranding

2

Reduced bowel wall enhancement

1

Bowel wall discontinuity

5

Splenic injury

− 1

Anterior abdominal wall injury

2