Multi detector computed tomography imaging in penetrating injuries

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dc.contributor.authorSachdev, Namritaen_US
dc.contributor.authorSingh, Yashvanten_US
dc.contributor.authorSanaen_US
dc.contributor.authorMehta, Dipshien_US
dc.date.accessioned2020-11-18T10:01:39Z
dc.date.available2020-11-18T10:01:39Z
dc.date.issued2020-06
dc.description.abstractBackground: Penetrating injuries forms an important component of surgical emergencies. Penetrating trauma typically involves the violation of the body by a gunshot wound (GSW) or stab wound. Emergency laparotomy is the accepted management in patients with a penetrating injury who are not hemodynamically stable. However, selective non-operative management has been shown to decrease the rate of unnecessary surgery. Plain radiographs and FAST are useful for initial assessment of these patients. Multi detector CT is an indispensable tool in the evaluation of patients who are stable and are candidates for conservative treatment.Methods: A cross sectional observational study was carried out on 40 patients admitted with penetrating injury to the trauma centre of PGIMER and Dr RML hospital. Of the 40 patients, 14 were taken for emergency laparotomy. In 26 cases, MDCT was done to evaluate for solid organ, hollow organ and vascular injuries.Results: The mean age of patients was 38 years, with male to female ratio of 5:1. Stab injury was the commonest type of injury, followed by gunshot wounds. Liver was the commonest solid organ involved, followed by kidneys and spleen. Other organs involved were diaphragm, small bowel and colon.Conclusions: Penetrating injuries can be life-threatening, making prompt diagnosis essential. Recognizing key abnormalities on MDCT ensures patients are triaged appropriately. Multi-detector CT is thus widely used to evaluate penetrating injuries in stable patients.en_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, Indiaen_US
dc.identifier.citationSachdev Namrita, Singh Yashvant, Sana, Mehta Dipshi. Multi detector computed tomography imaging in penetrating injuries. International Journal of Research in Medical Sciences. 2020 May; 8(5): 2259-2264en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212274
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber5en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20202278en_US
dc.subjectGunshot woundsen_US
dc.subjectMulti detector computed tomographyen_US
dc.subjectPenetrating injuryen_US
dc.subjectStab injuryen_US
dc.titleMulti detector computed tomography imaging in penetrating injuriesen_US
dc.typeJournal Articleen_US
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