To determine the accuracy of focused assessment with sonography for trauma in detecting the hemoperitoneum in blunt abdominal trauma patients and comparing it with Computed Tomographic findings. The study was conducted at Radiology department of Dr. Ziauddin University Hospital from March 2010 to September 2010. 140 patients presented with complaints of acute blunt abdominal trauma. Focused assessment with sonography for trauma was performed. Presence of intra-abdominal fluid was taken as positive finding for hemoperitoneum. Then all the patients underwent computed tomography of abdomino-pelvic region. Focused assessment with sonography for trauma findings were compared with computed tomography results. In 83 patients, the FAST showed free intra abdominal fluid and was taken as ‘positive’. Out of these 83 cases80 (96%) were ‘true positive’ while the remaining 3(4%) were ‘false positive’ when compared with results of CT scan.Similarly, in 57 patients, no free intra abdominal fluid was detected on FAST and they were considered ‘negative’. From these 57 patients, 50 (88%) patients were ‘true negative’ and 7 (12%) were ‘false negative’ because intra abdominal free fluid was seen in them on subsequent CT scan. Thus the sensitivity and specificity of FAST in detecting intra abdominal free fluid was calculated to be 91.9 % and 94.34 % respectively. FAST scan is moderately sensitive in detecting intra abdominal free fluid when compared with the results of CT scan.
| Published in | International Journal of Medical Imaging (Volume 1, Issue 1) |
| DOI | 10.11648/j.ijmi.20130101.12 |
| Page(s) | 7-11 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Blunt Abdominal Trauma, Focused Assessment with Sonography for Trauma, Computed Tomography, Accuracy, Hemoperitoneum
| [1] | Krug EG, Sharma GK, Lozano R: The global burden of injuries. Am J Public Health 2000, 90:523-526. |
| [2] | Perry JF. A Five-year survey of 152 acute abdominal injuries. J Trauma 1965; 5:53–57. |
| [3] | Elton C, Riaz AA, Young N, Schamschula R, Papadopoulos B, Malka V. Accuracy of computed tomography in the detection of blunt bowel and mesenteric injuries. Br J Surg 2005;92:1024-8 |
| [4] | Ochsner MG, Knudson MM, Pachter HL, Hoyt DB, Cogbill TH. Significance of minimal or no intraperitoneal fluid visible on CT scan associated with blunt liver and splenic injuries: a multicenter analysis. J Trauma 2000;49:505–10. |
| [5] | Nural MS, Yarden T, Guven H, Baydin A, Bayrak IK, Kati C. Diagnostic value of u/s in evaluation of blunt abdominal trauma. Diagn Interv Rad 2005;11:41-4. |
| [6] | Kristensen JR, Bueman B, Keuhl E. Ultrasonic scanning in the diagnosis of splenic haematomas. Acta Chir Scand 1971;137:653–657 |
| [7] | Kirkpatrick AW. Clinician-performed focused sonography for the resuscitation of trauma. Crit Care Med 2007;35:S162-72. |
| [8] | Bakker J, Gender R, Mali W, Leenen L. Sonography as the primary screening method in evaluating blunt abdominal trauma. Journal of Clinical Ultrasound 2005;33:155-63. |
| [9] | Tso P, Rodriguez A, Cooper C, Militello P, Mirvis S, Badellino MM, et al. Sonography in blunt abdominal trauma: a preliminary progress report. J Trauma. Jul 1992;33(1):39-43; discussion 43-4. |
| [10] | Soundappan SV, Holland AJ, Cass DT, Lam A. Diagnostic accuracy of Surgeon performed focused abdominal sonography (FAST) in blunt pediatric trauma. Injury2005;36:970-5. |
| [11] | Farahmand N, Sirlin CB, Brown MA, Shragg GP, Fortlage D, Hoyt DB et al. Hypotensive patients with blunt abdominal trauma. Performance of screening ultrasound. J Radiology 2005;235:436-43. |
| [12] | Richards JR, Schleper NH, Woo BD, Bohnen PA, McGahan JP. Sonographic assessment of blunt abdominal trauma: a 4-year prospective study. J Clin Ultrasound 2002; 30:59-67. 3 |
| [13] | Griffin XL, Pullinger R. Are diagnostic peritoneal lavage or focussed abdominal sonography for trauma safe screening investigations for hemodyamically stable patients after blunt abdominal trauma. A review of the literature. J Trauma 2007;62:779–84 |
| [14] | Sirlin CB, Brown MA, Andrade-Barreto OA. Blunt abdominal trauma: clinical value of negative screening US scans. Radiology 2004; 230:661–668. |
| [15] | Stengel D, Bauwens K, Sehouli J. Systematic review and meta-analysis of emergency ultrasonography for blunt abdominal trauma. Br J Surg. 2001; 88: 901-912 |
| [16] | Gruessner R, Mentges B, Duber CH, Ruckert K, Rothmund M. Sonography versus peritoneal lavage in blunt abdominal trauma. J Trauma 1989;29:242–4. |
| [17] | Healey MA, Simons RK, Winchell RJ. A prospective evaluation of abdominal ultrasound in blunt trauma: is it useful? J Trauma 1996;40:875–83. |
| [18] | Bode PJ, Edwards MJ, Kruit MC, Van Vugt AB. Sonography in a clinical algorithm for early evaluation of 1671 patients with blunt abdominal trauma. AJR Am J Roentgenol 1999; 172:905-911. |
| [19] | Lingawi S, Buckley A. Focused abdominal US in patients with trauma. Radiology 2000; 217:426–429. |
| [20] | Luks FI, Lemire A, St-Vil D, Di Lorenzo M, Filiatrault D, Ouimet A. Blunt abdominal trauma in children: the practical value of ultrasonography. J Trauma 1993;34:607–10. |
| [21] | Coley BD, Mutabagani KH, Martin HC, Zumberge N, Cooney DR, Caniano DA et al. Focused abdominal sonography for trauma (FAST) in children with blunt abdominal trauma. The Journal of Trauma 2000;40(5):902-5. |
| [22] | Siniluoto TM, Paivansalo MJ, Lanning FP, Typpo AB, Lohela PK, Kotaniemi AE. Ultrasonography in traumatic splenic rupture. Clin Radiol 1992;46:391–6. |
| [23] | Henderson SO, Sung J, Mandavia D. Serial abdominal ultrasound in the setting of trauma. J Emerg Med 2000;18:79–81. |
| [24] | Poletti PA, Kinkel K, Vermeulen B, et al. Blunt abdominal trauma: should US be used to detect both free fluid and organ injuries? Radiology. 2003; 227:95-103. |
| [25] | Tsui CL, Fung HT, Chung KL, Kam CW. Focused abdominal sonography for trauma in the emergency department for blunt abdominal trauma. Int J Emerg Med2008;1:183-7. |
APA Style
Nauman Al Qamari, Raza Sayani, Muhammed Ali, Muhammad Tamim Akhtar. (2013). Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography. International Journal of Medical Imaging, 1(1), 7-11. https://doi.org/10.11648/j.ijmi.20130101.12
ACS Style
Nauman Al Qamari; Raza Sayani; Muhammed Ali; Muhammad Tamim Akhtar. Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography. Int. J. Med. Imaging 2013, 1(1), 7-11. doi: 10.11648/j.ijmi.20130101.12
AMA Style
Nauman Al Qamari, Raza Sayani, Muhammed Ali, Muhammad Tamim Akhtar. Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography. Int J Med Imaging. 2013;1(1):7-11. doi: 10.11648/j.ijmi.20130101.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ijmi.20130101.12,
author = {Nauman Al Qamari and Raza Sayani and Muhammed Ali and Muhammad Tamim Akhtar},
title = {Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography},
journal = {International Journal of Medical Imaging},
volume = {1},
number = {1},
pages = {7-11},
doi = {10.11648/j.ijmi.20130101.12},
url = {https://doi.org/10.11648/j.ijmi.20130101.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20130101.12},
abstract = {To determine the accuracy of focused assessment with sonography for trauma in detecting the hemoperitoneum in blunt abdominal trauma patients and comparing it with Computed Tomographic findings. The study was conducted at Radiology department of Dr. Ziauddin University Hospital from March 2010 to September 2010. 140 patients presented with complaints of acute blunt abdominal trauma. Focused assessment with sonography for trauma was performed. Presence of intra-abdominal fluid was taken as positive finding for hemoperitoneum. Then all the patients underwent computed tomography of abdomino-pelvic region. Focused assessment with sonography for trauma findings were compared with computed tomography results. In 83 patients, the FAST showed free intra abdominal fluid and was taken as ‘positive’. Out of these 83 cases80 (96%) were ‘true positive’ while the remaining 3(4%) were ‘false positive’ when compared with results of CT scan.Similarly, in 57 patients, no free intra abdominal fluid was detected on FAST and they were considered ‘negative’. From these 57 patients, 50 (88%) patients were ‘true negative’ and 7 (12%) were ‘false negative’ because intra abdominal free fluid was seen in them on subsequent CT scan. Thus the sensitivity and specificity of FAST in detecting intra abdominal free fluid was calculated to be 91.9 % and 94.34 % respectively. FAST scan is moderately sensitive in detecting intra abdominal free fluid when compared with the results of CT scan.},
year = {2013}
}
TY - JOUR T1 - Focused Sonography in Detecting Hemoperitoneum in Blunt Abdominal Trauma Patients, Correlation with Computed Tomography AU - Nauman Al Qamari AU - Raza Sayani AU - Muhammed Ali AU - Muhammad Tamim Akhtar Y1 - 2013/07/20 PY - 2013 N1 - https://doi.org/10.11648/j.ijmi.20130101.12 DO - 10.11648/j.ijmi.20130101.12 T2 - International Journal of Medical Imaging JF - International Journal of Medical Imaging JO - International Journal of Medical Imaging SP - 7 EP - 11 PB - Science Publishing Group SN - 2330-832X UR - https://doi.org/10.11648/j.ijmi.20130101.12 AB - To determine the accuracy of focused assessment with sonography for trauma in detecting the hemoperitoneum in blunt abdominal trauma patients and comparing it with Computed Tomographic findings. The study was conducted at Radiology department of Dr. Ziauddin University Hospital from March 2010 to September 2010. 140 patients presented with complaints of acute blunt abdominal trauma. Focused assessment with sonography for trauma was performed. Presence of intra-abdominal fluid was taken as positive finding for hemoperitoneum. Then all the patients underwent computed tomography of abdomino-pelvic region. Focused assessment with sonography for trauma findings were compared with computed tomography results. In 83 patients, the FAST showed free intra abdominal fluid and was taken as ‘positive’. Out of these 83 cases80 (96%) were ‘true positive’ while the remaining 3(4%) were ‘false positive’ when compared with results of CT scan.Similarly, in 57 patients, no free intra abdominal fluid was detected on FAST and they were considered ‘negative’. From these 57 patients, 50 (88%) patients were ‘true negative’ and 7 (12%) were ‘false negative’ because intra abdominal free fluid was seen in them on subsequent CT scan. Thus the sensitivity and specificity of FAST in detecting intra abdominal free fluid was calculated to be 91.9 % and 94.34 % respectively. FAST scan is moderately sensitive in detecting intra abdominal free fluid when compared with the results of CT scan. VL - 1 IS - 1 ER -
Information
Email: