Title: Role of Multidetector Computed Tomography in Evaluation of Blunt Abdominal Trauma
Authors: Preetam, Naima Mannan, Chaturbhuj Swarnkar, G.L.Meena, Deepak Meena, Deepika Meena, Manish Kumar Meena
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.91
Abstract
Introduction: CT is the technique of choice for initial examination of hemodynamically stable patients after blunt abdominal trauma. It is highly sensitive, specific, and accurate for use in detecting the presence or absence of injury and defining its extent.
Material and Method: This Prospective Study is carried out in patients admitted to Sardar Patel Medical College & Associate Group of Hospitals, Bikaner with history of blunt abdominal trauma during the period of March 2016 to Nov 2016. 100 patients with blunt abdominal trauma who underwent CT examination were included in this study. using PHILLIPS BRILLIANS 64 SLICE MDCT SCAN.
Results: Out of 100 patients in our study, 70% were positive for abdominal injury and 30% were negative. Out of the 70 patients who were positive for Intra-abdominal injury, 72.85% patients had hemoperitoneum with solid organ injury and 15.71% had visceral injury without hemoperitoneum and 11.43% had isolated hemoperitoneum. In this study we had 70 visceral injuries. Majority 38.575 of patients with visceral injury had splenic injury followed by 28.57% patients of Hepatic injury & 20% renal injuries. Bowel and bladder injury contributed to almost 10% injuries. Injuries to GBS & pancreas contributed to only 1.43% each. Majority of the visceral Injuries were Grade III injuries. There were no grade VI injuries (complete devascularization following transaction at hilum) in this study. All the visceral injuries which were operated upon belonged to Grade V. None of the Injuries graded I to III required surgery.
Conclusion: CT is an important imaging technique for diagnosis of organ injuries in patients with abdominal trauma. It helps in grading of the type of injury and deciding the management of patient. It is a highly sensitive imaging modality for the diagnosis of abdominal injuries.
Keywords: Multidetector Computed Tomography; Multiple Trauma; Screening.
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