Please enter verification code
Confirm
Role of CT in Evaluation of Blunt Abdominal Trauma
International Journal of Medical Imaging
Volume 3, Issue 5, September 2015, Pages: 89-93
Received: Jun. 17, 2015; Accepted: Jun. 27, 2015; Published: Jul. 31, 2015
Views 6392      Downloads 344
Authors
Adel Mohamed El Wakeel, Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Shibeen El koom, Egypt
Rehab Mohamed Habib, Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Shibeen El koom, Egypt
Abeer Nabil Ali, Radiodiagnosis Department, Fever Hospital, Menoufia, Egypt
Article Tools
Follow on us
Abstract
CT was regard as golden standard method for evaluation of blunt abdominal trauma. CT allow good detection of any organ injury and determine its grade upon which the management will be performed. The aim of our study is to evaluate the role of CT in blunt abdominal trauma. This study included 50 patients presented with blunt abdominal trauma. Patients were subjected to clinical history and examination followed by MDCT scan with IV contrast. The results of our study proved that the liver was the most common injured organ representing 40%, spleen 30%, kidney 16%, peritoneum 8%, while the pancreas was the least common one representing only 2% of all our cases .Grade II hepatic injury was the most common representing 65% of patients with hepatic injury, also grade II splenic injury was the most common representing 73% of patients with splenic injury. Both grade I & II renal injuries were the most common each representing 37.5%. In our study 3 cases (6%) were detected having organ injury associated with active bleeding. We conclude that MDCT is the gold standard method for evaluation of blunt abdominal trauma as it play an important role not only in detection of organ injury, but also in the grading of this injury on which the management will be performed. Also it is important in the follow up of cases which undergo conservative treatment. In addition MDCT proved to be highly sensitive in detection of active hemorrhage which is a life threatening condition.
Keywords
Computed Tomography, Blunt Trauma, Abdomen
To cite this article
Adel Mohamed El Wakeel, Rehab Mohamed Habib, Abeer Nabil Ali, Role of CT in Evaluation of Blunt Abdominal Trauma, International Journal of Medical Imaging. Vol. 3, No. 5, 2015, pp. 89-93. doi: 10.11648/j.ijmi.20150305.11
References
[1]
Stephen Ledbetter and Robin Smithuis, ( 2007) ,Radiology Assistant, Acute Abdomen – Role of CT in Trauma. AJR , 189:1421-1427.
[2]
Dayal M, Gamanagatti S, Kumar A. ( 2013 ) Imaging in renal trauma. World J. Radiol.;5(8):275-84.
[3]
Genovese EA, Fonio P, Floridi C, et al. ( 2013 ) Abdominal vascular emergencies: US and CT assessment. Crit Ultrasound J.,5 Suppl 1:S10.
[4]
Vu M, Anderson SW, Shah N, et al. ( 2010 ) CT of blunt abdominal and pelvic vascular injury. Emerg Radiol.;17(1):21-9.
[5]
Pikoulis E, Kailidou E Katsiva V, et al. (2005) Contrast Enhanced Spiral CT Evaluation of Blunt Abdominal Trauma, JBR–BTR; 88: 61-65.
[6]
Lubner M, Menias C, Rucker C, et al. (2007) Blood in the belly: CT findings of hemoperitoneum. Radiographics; 27: 109-125.
[7]
Visrutaratna P, Na-Chiangmai W. (2008) Computed tomography of blunt abdominal trauma in children. Singapore Med. J., 49: 352-358.
[8]
Jansen JO, Yule SR, Udon MA. (2008) Investigation of blunt abdominal trauma, BMJ; 336: 938-942.
[9]
Isenhour JL, Marx J. (2007) Advances in abdominal trauma. Emerg Med Clin N Am;25:713-733.
[10]
Fishback SJ, Pickhardt PJ, Bhalla S, et al . (2011) Delayed presentation of splenic rupture following colonoscopy: clinical and CT findings. Emerg Radiol.; 18(6):539-44.
[11]
Harris AC, Zwirewich CV, Lyburn ID, et al. (2001) CT Findings in Blunt Renal Trauma. RadioGraphics;21:201-214.
[12]
Ahmed N, Vernick JJ. (2009) Pancreatic injury. South Med. J.,102 (12):1253-6.
[13]
John Udeani and John Geibel, ( 2008). Abdominal Trauma, Blunt. eMedicine, Specialties ,Trauma , Abdominal Trauma.
[14]
Nadia Mama, Hela Jemni, Nadia Arifa et al,(2012) Abdominal Trauma Imaging, http://dx.doi.org/10.5772/50426.
[15]
Maria Daniela Podeanu , Andrada Treaba , Nina Sincu et al ( 2013) CT findings in patients with blunt abdominal trauma , AMT, v. II, (4)259-262.
[16]
Cahir JG (2004).Multislice CT of the abdomen. BJR; 177:S64-S73.
[17]
Romano L, Giovine S, Guidi G, et al ( 2004) Hepatic trauma: CT findings and considerations based on our experience in emergency diagnostic imaging. Eur. J. Radiol 50(1):59-66.
[18]
Kawashima A, Sandler CM, Corl FM, et al.( 2001) Imaging of renal trauma: a comprehensive review. Radio- Graphics;21(3):557–574.
[19]
Lee YJ, Oh SN, Rha SE,et al ( 2007). Renal trauma. Radiol Clin North Am;45(3):581–592.
[20]
West OC, (2000). Intraperitoneal Abdominal Injuries .American Roentgen Ray Society , 2000 : 87-98.
[21]
Buccimazza I, Thomson SR, Anderson F, et al.( 2006). Isolated main pancreatic duct injuries. Spectrum and management. Am. J. Surg.,191:448–52.
[22]
Gupta A, Stuhlfaut JW, Fleming KW, et al (2004). Blunt trauma of the pancreas and biliary tract: a multimodality imaging approach to diagnosis. Radiographics; 24(5):1381-95.
[23]
Linsenmaier U, Wirth S, Reiser M, et al (2008) . Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics; 28(6):1591-602.
[24]
Hamdi Hameed Almaramhy, Salman Yousuf Guraya, (2012) . Computed tomography for pancreatic injuries in pediatric blunt abdominal trauma World J. Gastrointest Surg.4(7): 166-170.
[25]
Jürgen K. Willmann, Justus E. Roos, Andreas Platz, et al ( 2002), Multidetector CT: Detection of Active Hemorrhage in Patients with Blunt Abdominal Trauma, (2) 179.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186