EVALUATION OF ROLE OF FAST VS CECT ABDOMEN IN DETECTING ORGAN INJURY IN BLUNT ABDOMEN TRAUMA PATIENTS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND There is rapid increase in the number of blunt abdomen injury patients, mainly due to road traffic accidents. The physical signs are often masked in these patients and usually there is delay in the diagnosis of these patients. The computerised tomographic scan is the investigation of choice in such patients. Focused abdominal sonography in trauma (FAST) also has been proved to be accurate, non-invasive and less time consuming in assessing the critically traumatised patient in the emergency room. So, this study was undertaken to evaluate the role of FAST/ CECT Abdomen in detecting organ injury in Blunt Abdomen Trauma patients. MATERIALS AND METHODS This descriptive study was done among blunt injury abdomen patients who needed laparotomy in SRM Medical College and Research Institute, Potheri. In all patients, FAST and CECT Abdomen was done and compared with preoperative findings. RESULTS A total of 50 cases of blunt injury abdomen were included in this study. Of these cases, 44 cases (88%) were males and 06 cases (12%) were females. The range of age of the patients studied was from 16 years to 72 years and the mean age of the study group was 37.22 years. In our study, Road traffic accidents were the predominant cause of blunt injury. FAST and CECT findings were correlated with per-operative findings. Per-operative findings were positive in 50 patients. 49 patients were correctly identified by FAST (sensitivity 98%) and CECT correctly identified all 50 patients (sensitivity 100%). CONCLUSION CECT Abdomen is found to be highly reliable in detecting blunt abdomen injuries.
Authors and Affiliations
Balaji Durairaj, Rajesh Chakkarapani
Keywords
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- EP ID EP411308
- DOI 10.14260/jemds/2018/281
- Views 88
- Downloads 0
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