Volume : IX, Issue : IV, April - 2019

MDCT & USG findings in blunt abdominal trauma A Comparative study

Dr. Pooja Dilipkumar Shah

Abstract :

Background: Blunt abdominal trauma usually has low sensitivity on physical examination and also subtle clinical manifestations. Improved resolution of the ultrasound machines and availability of multiple frequency probes has improved the specificity of ultrasound evaluation in blunt abdominal trauma. Despite this about 50% of the solid organ injuries are missed. Computed tomography has been used to evaluate the patient with blunt abdominal trauma who FAST positive as well as indeterminate and clinically suspicious cases of solid organ, hollow viscera, spine & pelvic injury. AIM & OBJECTIVES: The purpose of this study was to determine sensitivity, specificity and diagnostic accuracy of USG and MDCT and compare the efficacy of the two imaging modalities in blunt abdominal trauma. METHOD: A prospective observational study of 50 patients was conducted in the Department of Radiodiagnosis,smt kashibai nawle medical hospital, Pune. All patients with blunt abdominal trauma were included FAST screening with ACUSION SIEMENS followed by MDCT study on 16 Slice Philips Brilliance was done. The findings were compared and sensitivity, specificity and diagnostic accuracy of USG and CT determined. These were compared with laparotomy findings. Results: Although USG was sensitive, specific & accurate in detecting free fluid in abdomen, CT was better and also CT was superior than USG in detecting solid organ injury in patients with blunt abdominal trauma. Conclusion: Ultrasound is an efficient modality in the initial evaluation of blunt abdominal trauma. But CT is the superior diagnostic modality and must be performed in symptomatic patient with ultrasound negative report and suboptimal ultrasound examination. CT scan thoroughly scrutinizes entire abdomen including retroperitoneum with additional assessment of thoracic trauma and bony pelvic trauma. Hence CT increases diagnostic confidence and influences management decision.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

MDCT & USG FINDINGS IN BLUNT ABDOMINAL TRAUMA A COMPARATIVE STUDY, Dr. Pooja Dilipkumar Shah INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-4 | April-2019

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