The Role of Computed Tomography in management  of Blunt Abdominal Trauma conducted at  Government tertiary hospital, Western India : A  prospective observational study

Dr. Kalpesh Vadodariya; Dr. V.P.Hathila; Dr. Kedar Mehta

Volume : III, Issue : II, February - 2014

The Role of Computed Tomography in management of Blunt Abdominal Trauma conducted at Government tertiary hospital, Western India : A prospective observational study

Dr. Kalpesh Vadodariya, Dr. V. P. Hathila, Dr. Kedar Mehta

Abstract :

Background and objectives: Evaluating patients who have sustained blunt abdominal trauma (BAT) remains one of the most challenging and resource-intensive aspects of acute trauma care. Missed intra-abdominal injuries continue to cause preventable deaths. Objective is to asses efficacy of CT scan (computed tomography) as accurate diagnostic tool for blunt abdominal trauma patients. Methods: 87 cases of blunt abdominal injury admitted in S.S.G hospital, Medical College, Baroda during the period of august 2010 to November 2012 were included in my study after taking written informed consent. All these patients were thoroughly investigated. CT Scan was done for all heamodynamicaly stable patients. Recorded data included age, sex, type of injuries and scan results. Organ injuries were graded using the OIS (Organ Injury Scale) guidelines. Results: The study comprised of 87 patients having blunt abdominal injury. Majority of patients were in the age group of 20-29 years male. Most common organ injury were splenic (43%), liver (32%) and renal (11%). 95% (83 patients) were positive for abdominal injury and 5% (4 patients) were negative. The CT findings of hemoperitoneum and/or solid organ injury were confirmed in the 15 cases taken up for surgery . Conclusions: In this study CT scan was 100 % sensitive in diagnosis of blunt abdominal trauma. Negative CT scan discourage unnecessary urgent abdominal exploration.