Title: Role of CT scan in Management of Blunt Abdominal Injury
Authors: Dr Brajamohan Mishra, Dr Swasti Rekha Nayak, Dr Abinasha Mohapatra, Dr Pramit Ballav Panigrahi
DOI: https://dx.doi.org/10.18535/jmscr/v8i2.104
Abstract
Background and objectives: Evaluating patients who have sustained blunt abdominal injuries remains one of the most challenging and resource –intensives aspects of acute trauma care. Missed intra-abdominal injuries continue to cause preventable deaths. Objective is to asses efficacy of CT Scan (computed tomography as accurate diagnostic tool for blunt abdominal injuries patients.
Methods: 96 cases of blunt abdominal injury admitted in VIMSAR, Medical College, Burla, Sambalpur during the period of October 2017 to October 2019 were included in my study after taking informed consent. All these patients were thoroughly investigated.
CT Scan was done for all heamodynamically stable patients. Recorded data included age, sex, types of organ injuries and scan results. Organ injuries were grading using the OIS (Organ Injury Scale) guidelines.
Results: The study comprised of 96 patients having blunt abdominal injuries. Majority of patients were in age group of 20-39 years male .Most common injury were splenic (40%), liver(23%)and hemoperitoneum (55%).95% (92 patients) were positive for abdominal injury and 5% (4 patients) were negative. The CT findings of hemoperitoneum and/or solid organ injury were confirmed in the17 cases taken up for surgery rest conservatively managed.
Conclusions: In this study CT scan was 100% sensitive in diagnosis of blunt abdominal injuries. Negative CT scan discourage unnecessary urgent abdominal exploration.
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