The role of computed tomography in blunt abdominal trauma as investigative tool conducted at tertiary level hospital, Vadodara
Journal Title: International Journal of Medical Science and Public Health - Year 2014, Vol 3, Issue 4
Abstract
Background: Evaluating patients who have sustained blunt abdominal trauma (BAT) remains one of the most challenging and resource - intensive aspects of acute trauma care. Missed intra - abdominal injuries continue to cause preventable deaths. Aims & Objective: To assess efficacy of CT scan (computed tomography) as accurate diagnostic tool for blunt abdominal trauma patients. Materials and Methods: 87 cases of blunt abdominal injury admitted in S.S.G hospital, Baroda during the period of August 2010 to November 2012 were included in the study after taking written informed consent. All these patients were thoroughly investigat ed. CT Scan was done for all hemodynamically stable patients. Recorded data included age, sex, type of injuries and scan results. Organ injuries were graded using the OIS (Organ Injury Scale) guidelines. Results: The study comprised of 87 patients having blunt abdominal injury. Majority of the patients were in the age group of 20 - 29 years. Most common organ injury were splenic (43%), liver (32%) and renal (11%). 95% (83 patients) were positive for abdomina l injury and 5% (4 patients) were negative. The CT findings of hemoperitoneum and/or solid organ injury were confirmed in the 15 cases taken up for surgery. Conclusion: In this study CT scan was 100 % sensitive in diagnosis of blunt abdominal trauma. Negative CT scan discourage unnecessary urgent abdominal exploration.
Authors and Affiliations
Kalpesh Vadodariya, VP Hathila, Shreyans Doshi
Keywords
Related Articles
- EP ID EP153499
- DOI 10.5455/ijm sph. 2014. 2 6 012014 5
- Views 79
- Downloads 0
Effect of obesity on pulmonary function tests in apparently healthy young women
Background : Obesity is considered to affect the respiratory functions. Objective: To evaluate the effect of obesity on pulmonary functions by spirometry among healthy young women. Materials and Methods : A cross-s...
A study on hypertension in geriatric population in a slum of Kolkata
Background: Noncommunicable diseases (NCDs) are the major contributors of morbidity and mortality in the elderly people. Among them, hypertension is one of the most important treatable causes of morbidity and mortali...
Malignant infantile osteopetrosis with cleft lip—a case report
Malignant infantile osteopetrosis (MIOP), a rare congenital disorder of bone resorption, is caused by the failure of osteoclasts to reabsorb immature bones. We report a 3-month-old female child with cleft lip who was r...
A study of the effects of HIV infection and ART treatment on the serum lipid profile of HIV/AIDS patients attending the Nylon District Hospital, Douala, Cameroon
Background: Antiretroviral therapy (ART) has been shown to substantially reduce morbidity and mortality in human immunodeficiency virus (HIV) seropositive patients. However, long-term management of patients on ART ma...
Metabolic syndrome in type 2 diabetes, an anthropometric and biochemical evaluation - A cross-sectional study from Central India
Background: Diabetes represents a spectrum of metabolic disorder which has become a major health challenge, worldwide. Diabetes caused 1.5 million deaths in 2012, and 80% of all new cases of diabetes expected to appear i...