EVALUATION OF INJURY PATTERN IN BLUNT ABDOMINAL TRAUMA BY MULTIPHASIC COMPUTED TOMOGRAPHY (MDCT) AND ITS CORRELATION WITH OPERATIVE FINDINGS: A PROSPECTIVE STUDY
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 2
Abstract
Introduction: Trauma is one of the most frequent causes of mortality and morbidity. A good chunk of these fatalities is attributable to abdominal injuries, of which blunt abdominal trauma is most challenging condition. Because, these injuries are hidden and difficult to evaluate with varying clinical presentation. Aims and Objectives: To analyse the role of Multiphasic CT in detecting the visceral organ injuries, their grading and correlation with operative findings in patients with blunt abdominal trauma. Material and Methods: A prospective study was done on patients suspected with blunt abdominal injury that were referred to department of radiodiagnosis in period from 1 Jan 2014 to 31 Dec 2014. All the scans were performed on somaton definition AS+ 128 slice CT machine by Siemens. Results: Out of the total 186 patients, visceral injuries or free fluid was seen in 157 patients Majority of victims were young adult males between 20-39 years of age group with M:F ratio of the study was 5.9:1. Solid organ injuries were seen in 123 patients. In most of the cases, involvement of only one organ was reported and Liver was the most common organ involved. Out of 186 patients 147 were managed conservatively and 37 patients underwent surgery On correlating CT scan findings and operative findings, hemoperitoneum was confirmed in all 37 patients, liver and splenic injuries were found in 11 patients. Bowel/mesenteric injuries were confirmed in 15 patients. 5 new cases of bowel/mesenteric injuries were found on laporotomy in which free fluid was seen on CT. The overall mortality rate in this study was 17.2% and rate of non therapeutic laprotomies was 2.7%. CONCLUSION: Multiphasic CT is helpful in detecting, grading organ injuries and managing them conservatively. Thus, plays important role in reducing unnecessary non therapeutic laparotomies. Multiphasic CT is accurate, detailed, relatively safe and investigation of choice in hemodynamically stable patients of blunt abdominal trauma
Authors and Affiliations
Gurjinder Singh Bajwa, , Ritu Dhawan Galhotra, Parambir Sandhu, Chandan Kakkar
Keywords
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