TITLE

CT FINDINGS IN PATIENTS WITH BLUNT ABDOMINAL TRAUMA

AUTHOR(S)
PODEANU, MARIA DANIELA; TREABĂ, ANDRADA; ŞINCU, NINA; SIMU, LIA MARIA; SIMU, IUNIUS; TILINCA, MARIANA
PUB. DATE
December 2013
SOURCE
Acta Medica Transilvanica;dec2013, Vol. 18 Issue 4, p259
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Introduction. CT scan is the gold standard in abdominal blunt trauma in stable patients because it reduces the number of laparotomies. Material and methods. We have examined 327 patients with trauma. The examinations were made with a single-slice CT AURA (Philips). Protocol for trauma has included non enhanced scan followed by CT angiography with multiphase acquisition (arterial phase, portal-venous phase and a delayed phase for renal collecting system integrity check-out). Results Of 327 patients with blunt abdominal trauma examined during 2012, 52 cases representing 15,9 % had CT detectable intraabdominal lesions. Of them, more than half (27 cases representing 51,92%) had associated injuries (cranio-cerebral, thorax, spine, pelvis and extremities). 37 were males and 15 were females. Age ranged between two and 83 years old. Regarding the cause of trauma, we found the car accidents in 79% of cases, followed by accidental falling (13%) and aggression (8%). The injured organs were spleen (26 cases), liver (18 cases), kidney (7 cases), diaphragm in one case and associated musculoskeletal injuries were noted in 33 patients. Conclusions. CT angiography represents the best option for abdominal blunt trauma showing active bleeding, contrast extravasation and also devascularisation.
ACCESSION #
92741673

 

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