IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-9-2-24241 Original Research Paper ROLE OF MULTI DETECTOR COMPUTED TOMOGRAPHY IN EVALUATION OF BLUNT ABDOMINAL TRAUMA Yendluri Dr. February 2020 9 2 01 02 ABSTRACT

This prospective study was conducted to evaluate the usefulness of Multidetector Computed Tomography in detection of intra–abdominal injury in patients with blunt abdominal trauma and to provide information that could accurately determine the choice of management (operative versus non–operative). The findings were correlated with either clinical follow–up, follow up CT scans (if required) or surgical findings (wherever applicable). This study highlighted that motor vehicle accident was the most common cause of bunt abdominal trauma. The majority of the patients involved were in the productive age group of 21–40 years making their optimal management vital. The most commonly injured organ in this study was spleen. CT was 100% sensitive in detecting haemoperitoneum. The overall CT analysis of visceral injuries in this study directed the appropriate management protocols in the majority of our patients except for those with bowel injuries. The successful management of bowel injuries requires a multi–modal approach combining CT findings with serial assessment of the clinical status of the patient. With an overall sensitivity of 66.7 %, specificity of 100%, positive predictive value of 100%, negative predictive value of 94.1 % and accuracy of 94.7% in this study, it is concluded that CT is a superior diagnostic modality in the diagnosis and management of blunt abdominal trauma.