MULTI DETECTOR COMPUTED TOMOGRAPHY EVALUATION OF BLUNT ABDOMINAL TRAUMA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 17
Abstract
AIM The aim of our study was to assess the diagnostic role of Multi-detector computed Tomography (MDCT) in the evaluation and management of blunt abdominal trauma. MATERIAL AND METHOD A Prospective study of 100 patients referred to our department was conducted from January 2015 to December 2015. IV contrast and oral /rectal contrast were used. Multiplanar reformations were done. CT findings were analysed, compared and confirmed by either operative findings or follow-up CT scan. RESULTS 100 cases with history of blunt abdominal trauma or diagnosed with ultrasonography were considered in this study. Ultrasound and MDCT of abdomen were performed. Spleen was the most common organ to be injured, USG findings and MDCT findings were compared with per operative findings. Patients who were managed conservatively were compared with repeat follow up CT findings. USG showed a sensitivity of 93.7% and specificity of 100% in solid organs injury and sensitivity of 84% and specificity of 100% in free fluid detection. MDCT showed a sensitivity of 100% and specificity of 100% in solid organs injury and 100% in haemoperitoneum. CONCLUSION MDCT is the modality of choice to evaluate blunt abdominal injury and to determine the appropriate management, either surgical intervention or conservative management.
Authors and Affiliations
Vedaraju Kadaba Shamachar, Srinivas Maskal Revanna, Chandalingappa Kuri
Keywords
Related Articles
- EP ID EP233796
- DOI 10.18410/jebmh/2016/150
- Views 99
- Downloads 0
ANATOMICAL VARIATIONS OF NASAL CAVITY: A CORONAL CT STUDY
INTRODUCTION: People suffering from sinusitis may be due reversible or irreversible causes. Irreversible causes are due permanent obstruction of the sinus drainage channels by variations of the bones of the nasal cavity....
INCIDENCE OF TUBERCULOSIS AMONG PATIENTS OF BRONCHIAL ASTHMA RECEIVING TREATMENT WITH METERED DOSE CORTICOSTEROID BY INHALATION
BACKGROUND The aim of this study was to evaluate the incidence and pattern of tuberculosis in bronchial asthma patients receiving inhalational corticosteroid therapy by MDI. MATERIALS AND METHODS Eighty-four patients tak...
OUTCOMES OF ASYMPTOMATIC BACTERIURIA IN PATIENTS WITH DIABETES MELLITUS IN A YEAR-LONG FOLLOW UP STUDY
BACKGROUND Diabetes mellitus is a major public health problem worldwide today. It affects the genitourinary system. It predisposes patients to a variety of urinary tract infections and has long term effects on patient he...
KEROSENE POISONING IN CHILDREN: AN OVERVIEW
Poisoning due to drugs is influenced to a large extent by the population’s socioeconomic and cultural status. 1 In developing countries, acute poisoning is a major preventable public health problem among children. 2 Kero...
BIOLOGICAL DETAIL AND THERAPEUTIC EFFECT OF AZADIRACHTA INDICA (NEEM TREE) PRODUCTS- A REVIEW
BACKGROUND The Neem tree (Azadirachta indica) growing in tropical and subtropical regions, is a native tree of India. Neem belongs to Meliaceae family, also known as a Limbo, Nim, Nimba, Medusa and Vempu. It is also call...