The clinical impact of CT for blunt abdominal trauma

Wing, V W; Federle, MP; Morris, J. M.; Rb, Jeffrey; Bluth, R

doi:10.2214/ajr.145.6.1191

Cited by 86 publications

(34 citation statements)

References 2 publications

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“…This is similar to findings by Srisussadaporn S. (8) In this study, spleen and liver were the most common organs injured followed by kidney, which was similar to study by Barry D. Toombs, Richard G. Lester, Yoram Ben Menachem et al (11) In this study USG showed sensitivity of 100%, specificity of 62.5% and overall diagnostic accuracy of 94% as compared to that of CT, which showed 100% sensitivity, 100% specificity and diagnostic accuracy of 100% for detection of free intraperitoneal fluid, which were very well comparable with other studies by Paolo Lucciarini, Schmuel Katz, Sattam S. Lingawi, Vivian W. Wing, Paul A. Kearney, William Pevec and S. Srisussadapom. (8,12,13,14,15,16) In this study USG showed sensitivity of 68.8%, specificity of 80% and overall diagnostic accuracy of 70% as compared to CT which showed 97.7% sensitivity, 100% specificity and overall diagnostic accuracy of 98% for detection of abdominal organ injuries, which were very well comparable with other studies by Paolo Lucciarini, Schmuel Katz, Sattam S. Lingawi, Vivian W. Wing, Paul A. Kearney, William Pevec and S. Srisussadapom. (8,12,13,14,15,16) …”

Section: Discussionsupporting

confidence: 88%

“…(8,12,13,14,15,16) In this study USG showed sensitivity of 68.8%, specificity of 80% and overall diagnostic accuracy of 70% as compared to CT which showed 97.7% sensitivity, 100% specificity and overall diagnostic accuracy of 98% for detection of abdominal organ injuries, which were very well comparable with other studies by Paolo Lucciarini, Schmuel Katz, Sattam S. Lingawi, Vivian W. Wing, Paul A. Kearney, William Pevec and S. Srisussadapom. (8,12,13,14,15,16) …”

Section: Discussionsupporting

confidence: 88%

See 1 more Smart Citation

Comparative Study of Multidetector Computed Tomography and Ultrasonography Findings in Blunt Abdominal Trauma

Devi¹,

Singh²,

Singh³

2016

jemds

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BACKGROUNDBlunt 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 with better specificity to evaluate patients with blunt abdominal trauma who are FAST (Focused Assessment with Sonography for Trauma) positive as well as indeterminate and clinically suspicious cases of solid organ, hollow viscera, spine and pelvic injury.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

Comparative Study of Multidetector Computed Tomography and Ultrasonography Findings in Blunt Abdominal Trauma

Devi¹,

Singh²,

Singh³

2016

jemds

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“…5 BT ayrıca travmaya eşlik eden pnömotoraks, pelvik ve spinal fraktür gibi ekstraabdominal yaralanmaları da saptamaya yardımcıdır. 6 Travmaya yönelik yapılan abdominal BT'de diyafragma kubbesinden iskium inferioruna kadar olan alan incelemeye dahil edilmelidir ve intravenöz kontrast madde kullanılmalıdır. 7 120-160 ml %60 kontrast madde 2-4 ml/sn hızla gidecek şekilde kullanılır.…”

Section: Introductionunclassified

Computed tomography findings of abdominal trauma

Önder¹,

Kuday²,

Gür³

et al. 2012

Sakarya Med J

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ÖzetKarın travmaları; baş, boyun ve toraks travmalarından sonra üçüncü en sık ölüm nedenidir. Travmalara bağlı ölümlerin yaklaşık % 10' u abdominal yaralanmalara bağlı gelişir. Künt solid organ yaralanmalarının nonoperatif tedavisinin önünü açan en büyük faktör Bilgisayarlı Tomografi(BT) olmuştur. BT, yaralanmaların anatomisini doğru bir şekilde ortaya koyar. İntraperito-neal sıvının miktarı, retroperitoneal yapılar ve gastrointestinal sistem hakkında çok önemli bil-giler verir. Günümüzde BT olmadan solid organ yaralanmalarının konservatif tedavisinin gerçekleştirilmesi çok güçtür. BT karaciğer, dalak, böbrek, pankreas ve sindirim borusunun trav-ma sonrası evrelemesi tedavi ve takibinde önemli katkılar sağlamaktadır. AbstractAbdominal trauma, the third most common cause of death after head, neck and chest in-juries. %10 of trauma related deaths develops due to abdominal injury. Computed Tomography (CT) has been paving the biggest factor in the way for nonoperative treatment of blunt solid organ injuries. CT exposes accurately to the anatomy of injuries. It is provide very important information about, the amount of intraperitoneal fluid, retroperitoneal structures, and the gastrointestinal system. Today, it is very difficult the realization of solid organ injury with conservative treatment without CT. CT provides a significant contribution staging of trauma liver, spleen, kidney, pancreas and digestive tract, treatment and follow-up. Keywords GirişKarın travmaları; baş, boyun ve toraks travmalarından sonra travmalara bağlı ölüm nedenleri içerisinde üçüncü sıklıktadır. Travmalara bağlı ölümlerin yaklaşık % 10' u abdominal yaralanmalara bağlı gelişir.1,2 Karın travmaları kafa ve göğüs travmalarından daha az ölümcül olmalarına rağmen, kendisine bağlı ölümlerin erken tanı ve tedavisi yapıldığında en yüksek oranda önlenebilir travma grubu olması nedeni ile önemini korumaktadır.3 Oluş mekanizması bakımından trafik kazaları, iş kazaları, yüksekten düşme ve darp gibi olaylar künt travma grubuna girerler. Künt solid organ yaralanmalarında, Avrupa ülkelerinde olduğu gibi, ülkemizde de trafik kazaları en ön sırayı almaktadır. 4Künt solid organ yaralanmalarının nonoperatif tedavisinin önünü açan en büyük faktör Bilgisayarlı Tomografi (BT) olmuştur. BT; yaralanmaların anatomisini doğru bir şekil-de ortaya koyar.

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“…It can accurately document solid organ injury and has greatly aided the expectant surgical management from which most trauma victims now benefit [2]. A small percentage of blunt abdominal trauma victims sustain gastrointestinal (GI) perforation, often with occult clinical findings [3].…”

Section: Introductionmentioning

confidence: 99%