Evaluation of Blunt Abdominal Trauma by Helical Spiral CT Scan - A One Year Study at a Tertiary Care Hospital
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Trauma is the leading cause of death in modern era of developing world and accounts for 10-15 million deaths globally. Blunt abdominal trauma (BAT) is a medical or surgical emergency and is associated with significant morbidity and mortality despite advances in diagnosis, management and intervention. The present study aimed to detect the findings in helical spiral CT scan in cases of BAT and also to assess the outcome with relation to time of presentation. Material and Methods: A one year prospective study was conducted by department of radiology in association with emergency medicine. All cases of blunt abdominal trauma who fulfilled the inclusion criteria was performed helical spiral CT scan and findings were noted and reported. CT Cystography was performed in cases of pelvic fractures or history of Hematuria or blood at urethral meatus. Results: 85 cases were included with 56 males and 29 females. 31-40 years was the most common age group with mean age of 31.20± 1.6 years. Spleen was the major organ injured followed by liver and kidney in our study. Grade-I splenic injury was common and in liver also grade-I was common. Hemoperitoneum was observed in 51.21% cases and the fluid collection was moderate in 71.42% cases. Retroperitoneal haemorrhage was observed in 34.24% of cases. Discussion: In conjunction with clinical examination and monitoring CT is an accurate, safe and was reliable in initial evaluation cases of blunt abdominal trauma. With the accuracy of CT in cases of BAT the rate of negative laporatomy will be reduced by avoiding surgical intervention in cases which can be managed conservatively
Authors and Affiliations
Ritesh Kondet, Gopinath Loganathan
Keywords
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- EP ID EP424323
- DOI 10.21276/ijcmsr.2018.3.3.25
- Views 98
- Downloads 0
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