Role of Multidetector Computed Tomography in Evaluation of Blunt Abdominal Trauma
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 3
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.
Authors and Affiliations
Dr G. L. Meena
Keywords
Related Articles
- EP ID EP278992
- DOI -
- Views 71
- Downloads 0
Etiology of Pulmonary Hypertension less than 40 years age in a tertiary care centre: Hundred patients tribal based population Study
Pulmonary Hypertension is a serious and unrelenting pulmonary vascular disorder that affects the functional quality of patients significantly and decrease the lifespan. Diagnosis at early stage may save many life as numb...
Various Approaches in Total Hip Replacement: Evaluation of Functional Outcome
Objectives & Aims: 1) To evaluate best approach for performing primary total hip replacement in view of functional improvement, intra-op minimal trauma, intra-op surgeon’s preference, post-op rehabilitation. Various appr...
Role of Mannheim Peritonitis Index in Perforative Peritonitis in Rural Population
Perforative Peritonitis still remains a disease with higher mortality and morbidity rates in rural population of India. The aim of this study was to evaluate the efficacy of Mannheim Prognostic Index in predicting the cl...
Comparative Study of Efficacy of Nebulized Beta 2 Agonist vs Nebulized Adrenaline in Bronchiolitis
Bronchiolitis is an acute communicable disease predominantly manifesting in infancy mainly caused by RSV and characterized by cough, coryza, fever, grunting, tachypnoea, retractions, inspiratory crackles, expiratory whee...
Patient Presenting with Massive Hematochyluria, Right Thigh Cellulitis and Lymphedema of Leg- A Case Report
In lymphatic filariasis, patients occasionally present with chyluria, hematochyluria alone or along with other clinical manifestations like lymphangitis, lymphadenitis, elephantiasis, chylocele, chylothorax or chylous as...