Role of multidetector computed tomography in evaluation of abdominal trauma in Sothern Rajasthan, India

Authors

  • Puran . Department of Radiodiagnosis, RNT Medical College, Udaipur, Rajasthan, India
  • Narendra Kumar Kardam Department of Radiodiagnosis, RNT Medical College, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20192526

Keywords:

Abdominal trauma, Computed tomography, Detection, Evaluation, Management

Abstract

Background: Abdominal injury constitutes a significant portion of all blunt and penetrating body injuries. Computed   tomography is an important and fast technique which gives rapid information on the type of abdominal injury and helps in management of the patient accordingly. The aim of the present study was to evaluate the usefulness of Multidetector Computed Tomography (MDCT) in detection of intra-abdominal injury in patients with blunt abdominal trauma and to provide information that could accurately determine choice of management (non- operative versus operative). And to correlate the computed tomography (CT) findings with either clinical observation, follow up CT scan (if required) or surgical findings (wherever applicable).

Methods: A total of 50 patients with abdominal trauma who underwent computed tomography (CT) examination were included. CT findings were compared with surgical findings in operated cases, and in the rest CT findings were compared by clinical outcome.

Results: Among the 50 cases studied, all 50 had positive CT findings of abdominal trauma, out of which 24 patients underwent surgery and the remaining were managed conservatively. The age group of the patients was ranging from 8 to 66 years with male predominance. In this study the commonest organs affected were liver and spleen accounting for 48% and 44% respectively.

Conclusions: Computed tomography is an important and highly sensitive imaging modality for diagnosis of organ injuries in patients with abdominal trauma and accordingly deciding the management of patient.

References

Novelline RA, Rhea JT,Bell T. Helical CT of abdominal trauma. Radiol Clin North Am. 1999;37:591-612.

Udekwu PO, Gurkin B, Oller DW. The use of computed tomography in blunt abdominal injuries. Am Surg. 1996;62(1):56-59.

Dondelinger R, Trotteur G, Ghaye B, Szapiro D. Traumatic injuries: radiological hemostatic intervention at admission. Eur Radiol. 2002;12(5):979-93.

Weishaupt D, Grozaj AM, Willmann JK, Roos JE, Hilfiker PR, Marincek B. Traumatic injuries: imaging of abdominal and pelvic injuries. Eur Radiology. 2002;12(6):1295-311.

Cogbill TH, Moore EE, Jurkovich GJ, Morris JA, Mucha JP, Shackford SR, et al. Nonoperative management of blunt splenic trauma: a multicenter experience. J Trauma. 1989;29(10):1312-7.

Miller LA, Mirvis SE, Shanmuganathan K, Ohson AS. CT diagnosis of splenic infarction in blunt trauma: imaging features, clinical significance and complications. Clin Radiol. 2004;59(4):342-8.

Siddique MA, Rahman MK, Hannan AB. Study of Abdominal Injury: An Analysis of 50 Cases. TAJ. 2004;17(2):84-8.

Khan JS, Iqbal N, Gardezi JR Pattern of visceral injuries following blunt abdominal trauma in motor vehicular accidents. J Coll Physicians Surg Pak. 2006;16(10):645-7.

Anderson SW, Varghese JC, Lucey BC, Burke PA, Hirsch EF, Soto JA. Blunt splenic trauma: delayed-phase CT for differentiation of active hemorrhage from contained vascular injury in patients. Radiology. 2007;243(1):88-95.

Laal M, Khodadadi M, Zarei MR. Renal Trauma Management in 8 Cities of Iran. Acta Medica Iranica. 2009;47(1):61-4.

Downloads

Published

2019-05-29

How to Cite

., P., & Kardam, N. K. (2019). Role of multidetector computed tomography in evaluation of abdominal trauma in Sothern Rajasthan, India. International Journal of Research in Medical Sciences, 7(6), 2350–2355. https://doi.org/10.18203/2320-6012.ijrms20192526

Issue

Section

Original Research Articles