Blunt abdominal trauma in adults: role of CT in the diagnosis and management of visceral injuries

1998 ◽  
Vol 8 (4) ◽  
pp. 553-562 ◽  
Author(s):  
C. D. Becker ◽  
G. Mentha ◽  
F. Terrier
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnosis And Management

Blunt abdominal trauma in adults: role of CT in the diagnosis and management of visceral injuries

1998 ◽  
Vol 8 (5) ◽  
pp. 772-780 ◽  
Author(s):  
C. D. Becker ◽  
G. Mentha ◽  
F. Schmidlin ◽  
F. Terrier
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnosis And Management

scholarly journals Role of Multidetector CT in Blunt Abdominal Trauma

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Praveen Kumar John ◽  
◽  
Arif Khan S ◽  
Ganesh K ◽  
Francis N. P. Monteiro ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Multidetector Ct

scholarly journals Role of Liver Enzymes in Patients with Blunt Abdominal Trauma to Diagnose Liver Injury

2020 ◽  
Author(s):  
Anup Shrestha ◽  
Harish Chandra Neupane ◽  
Kishor Kumar Tamrakar ◽  
Abhishek Bhattarai ◽  
Gaurav Katwal
Keyword(s):  
Liver Injury ◽  
Confidence Interval ◽  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Predictive Value ◽  
Liver Enzymes ◽  
Tertiary Center ◽  
Significant Difference

Abstract Background:The liver is the second most injured organ following blunt abdominal trauma (BAT) after spleen. Although the computed tomography (CT) scan is considered as the gold standard for diagnosing liver injury in BAT, it is not readily available in the hospital. This study was performed to evaluate the role of aspartate transaminase (AST) and alanine transaminase (ALT) in patients with BAT and its significance in predicting the diagnosis and severity of the liver injury.Method:The study was conducted in Chitwan Medical College Teaching Hospital (CMCTH) study from February 2019 to May 2020. During that period 96 patients with BAT presented to the emergency department(ED) of CMCTH.Results:Among the 96 patients admitted with BAT, 38 patients had liver injury and 58 patients had no liver injury. The median length of the intensive care unit (ICU) stay of patients with liver injury was higher than without liver injury. There was a significant difference in the median level of AST and ALT (<0.001) between patients with liver injury and no liver injury. The area under the ROC curve of AST was 0.89(95% Confidence Interval 0.86-0.98) and of ALT was 0.92(95% Confidence Interval 0.83-0.97). The area under the curve demonstrated that the test was a good predictor for the identification of liver injury and also the severity of liver enzymes. The cut-off values for the liver injury were 106 U/l and 80 U/l for AST and ALT respectively. Based on these values, AST ≥ 106 U/l had a sensitivity of 71.7 %, a specificity of 90 %, a positive predictive value of 86.8 %, and a negative predictive value of 77.6 %. The corresponding values for ALT ≥ 80 U/l were 77.8 %, 94.1%, 92.1% and 82.8 %, respectively.ConclusionIn conclusion, we report the optimal cut-off value of AST and ALT for liver injury in BAT as ≥ 106 U/l and 80 U/l respectively. The elevated level of AST and ALT might assist the surgeons to timely refer the suspected patients with the liver to a tertiary center and it might help the surgeons to go for conservative management for minor liver injuries in BAT preventing the exposure hazards of the CT scan.

scholarly journals ROLE OF ULTRASOUND IN MANAGEMENT OF BLUNT ABDOMINAL TRAUMA

2019 ◽  
Vol 6 (29) ◽  
pp. 1927-1933
Author(s):  
Sai Bharat Sunkara ◽  
Biranchi Narayan Lenka ◽  
Gaurav Jha ◽  
Treena Minz ◽  
Saik Kasif Sahajada
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma

scholarly journals An experience with blunt abdominal trauma: evaluation, management and outcome

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Nikhil Mehta ◽  
Sudarshan Babu ◽  
Kumar Venugopal
Keyword(s):  
Early Diagnosis ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
World Health ◽  
Common Mechanism ◽  
World Population ◽  
Diagnosis And Management ◽  
Time Of Presentation

Blunt abdominal trauma (BAT) is a frequent emergency and is associated with significant morbidity and mortality in spite of improved recognition, diagnosis and management. Trauma is the second largest cause of disease accounting for 16% of global burden. The World Health Organization estimates that, by 2020, trauma will be the first or second leading cause of <em>years of productive life</em> <em>lost</em> for the entire world population. This study endeavors to evaluate 71 cases of BAT with stress on early diagnosis and management, increase use of non operative management, and time of presentation of patients. A retrospective analysis of 71 patients of BAT who were admitted in Kempegowda Institute of Medical Sciences hospital (KIMS, Bangalore, India) within a span of 18 months was done. Demographic data, mechanism of trauma, management and outcomes were studied. Most of the patients in our study were in the age group of 21-30 years with an M:F ratio of 3.7:1. Motor vehicle accident (53%) was the most common mechanism of injury. Spleen (53%) was the commonest organ injured and the most common surgery performed was splenectomy (30%). Most common extra abdominal injury was rib fracture in 20%. Mortality rate was 4%. Wound sepsis (13%) was the commonest complication. Initial resuscitation measures, thorough clinical examination and correct diagnosis forms the most vital part of management. 70% of splenic, liver and renal injuries can be managed conservatively where as hollow organs need laparotomy in most of the cases. The time of presentation of patients has a lot to do with outcome. Early diagnosis and prompt treatment can save many lives.

scholarly journals Renal trauma and the intravenous urogram

1987 ◽  
Vol 80 (1) ◽  
pp. 21-22 ◽  
Author(s):  
C D H Oakland ◽  
J M Britton ◽  
C A C Charlton
Keyword(s):  
Retrospective Analysis ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Congenital Abnormalities ◽  
Renal Trauma ◽  
Microscopic Haematuria ◽  
Intravenous Urogram ◽  
Naked Eye

A retrospective analysis of all patients with blunt abdominal trauma associated with haematuria admitted to one hospital (Royal United, Bath) in a 10-year period was conducted to establish the contribution of the intravenous urogram (IVU) in their management. Eighty-one case records were analysed. Of 35 IVUs performed in patients with microscopic (reagentstrip positive) haematuria, only one was abnormal. In contrast, 27 IVUs performed in patients with macroscopic (naked eye) haematuria revealed 17 major injuries and 5 previously unrecognized congenital abnormalities. It is concluded that an IVU is an unnecessary and non-contributory investigation in patients with microscopic haematuria and guidelines are suggested for the role of IVU in patients with blunt abdominal trauma associated with haematuria.

scholarly journals Characterization of indeterminate spleen lesions in primary CT after blunt abdominal trauma: potential role of MR imaging

2014 ◽  
Vol 21 (5) ◽  
pp. 491-498 ◽  
Author(s):  
Sonja Gordic ◽  
Hatem Alkadhi ◽  
Hans-Peter Simmen ◽  
Guido Wanner ◽  
Dieter Cadosch
Keyword(s):  
Mr Imaging ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Potential Role
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