Role of CT imaging in patients sustaining blunt injury of abdomen, retrospective analysis from a tertiary care hospital

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dc.contributor.authorRajalakshmiPreethi, Gen_US
dc.contributor.authorMariappan, Men_US
dc.contributor.authorMadhusudhanan, Jen_US
dc.contributor.authorArun, AC.en_US
dc.date.accessioned2019-12-02T09:54:17Z
dc.date.available2019-12-02T09:54:17Z
dc.date.issued2016
dc.description.abstractBackground: Blunt abdominal trauma is a frequently encountered emergency with associated significant morbidity and mortality. Since conservative nonsurgical therapy is preferred for all but the most severe injuries affecting the solid viscera, CT imaging is useful in detecting severe solid organ and bowel injuries which require surgical management. Objective: To analyze the profile of abdominal injuries presenting to the emergency medicine department of a tertiary care teaching hospital. Materials and methods: The study was a retrospective analysis of hospital records conducted in Velammal Medical College and Hospital, Madurai, which is a tertiary care teaching hospital in south India. The study was conducted from May 2014 to January 2016. People reporting to the emergency, with suspected abdominal injuries and evaluated for the same by CT abdomen were included in the study. Results: CT had 100% negative predictive value and highly specific in ruling out significant abdominal injuries. Spleen was the most common organ injured in study population, seen in 32 (42.10%) patients. The other common organs injured were liver and kidneys, which were injured in 24 (31.57%) and 16 (21.05%) patients respectively. Only 25% of the patients in our study required surgical intervention, which was for Grade IV/V splenic injuries, hepatic injury with active contrast extravasation, hepatic pseudo aneurysm, bowel and diaphragmatic injuries. Rajalakshmi Preethi G, Mariappan M, Madhusudhanan J, Arun AC. Role of CT imaging in patients sustaining blunt injury of abdomen, retrospective analysis from a tertiary care hospital. IAIM, 2016; 3(9): 79-86. Page 80 Conclusions: CT is highly useful in evaluation of hemodynamically stable patients with suspected blunt abdominal trauma. Majority of the patients with abdominal injury were successfully managed conservatively.en_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India, preethi.doc@gmail.comen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Gastroenterology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Medical Gastroenterology Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, Indiaen_US
dc.identifier.citationRajalakshmiPreethi G, Mariappan M, Madhusudhanan J, Arun AC.. Role of CT imaging in patients sustaining blunt injury of abdomen, retrospective analysis from a tertiary care hospital. International Archives of Integrated Medicine. 2016 Aug; 3(9): 79-86en_US
dc.identifier.issn2394-0026
dc.identifier.issn2394-0034
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/186472
dc.languageenen_US
dc.publisherEducational Society for Excellenceen_US
dc.relation.issuenumber9en_US
dc.relation.volume3en_US
dc.subjectBlunt traumaen_US
dc.subjectCTen_US
dc.subjectAbdominal injuryen_US
dc.subjectHemoperitoneumen_US
dc.titleRole of CT imaging in patients sustaining blunt injury of abdomen, retrospective analysis from a tertiary care hospitalen_US
dc.typeJournal Articleen_US
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