الفهرس 
EpidemiologyOnly 14 pages are availabe for public view
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Abstract
Blunt abdominal trauma (BAT) represents approximately 80% of abdominal injuries presented to emergency department (ED) and is usually more frequent than penetrating trauma.Injuries to the small and large bowel and their mesentery are uncommon event after blunt trauma. Isolated bowel injury (IBI) is usually defined as the presence of small and/or large bowel perforation without associated injuries to other intra-abdominal structure.IBI diagnosis is regularly a difficult challenge and often misdiagnosed leading to therapeutic delay. The clinical and radiological signs of bowel or mesenteric injury are usually apparent leading to prompt surgical intervention, but, some injuries may present with subclinical or muted pictures.The literature review reveals the need for a consistent tool that could help trauma surgeons to make accurate and timely fashioned decision for triaging, diagnosis and management of bowel injury.The Z-Score is a simple and novel practical score that help the early diagnosis and management of bowel and mesenteric injury in hemodynamically stable cases with FIPF without associated SOI on abdominal CT.The score includes four different items: 1) presence of abdominal pain or tenderness, 2) external abdominal wall injuries, 3) detection of free intraabdominal fluids (FIAF) on abdominal CT and 4) radiological signs of intestinal or mesenteric injury.