The Role of Computed Tomography in Blunt Abdominal Trauma
Introduction: Blunt injury trauma is regularly encountered in the emergency department. Diagnostic tools that help in optimum management of blunt abdominal trauma include; Focussed Assessment Sonography for Trauma scan, Diagnostic peritoneal lavage and Computed Tomography scan. The aim of this study...
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doaj-1e2d504dbf214d9b96575b965a9c24552020-11-25T01:03:29ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2015-12-01532002272302735The Role of Computed Tomography in Blunt Abdominal TraumaOm Bahadur Karki0Department of Surgery, Manipal College of Medical Sciences, Pokhara, Nepal.Introduction: Blunt injury trauma is regularly encountered in the emergency department. Diagnostic tools that help in optimum management of blunt abdominal trauma include; Focussed Assessment Sonography for Trauma scan, Diagnostic peritoneal lavage and Computed Tomography scan. The aim of this study is to determine the validity of CT scan as an accurate diagnostic tool and its role in management of patients with blunt abdominal trauma. Methods: A prospective analysis of 80 patients of blunt abdomen trauma who were admitted in Manipal Teaching Hospital, Pokhara, Nepal within a span of 15 months was done. Demographic data, mechanism of trauma, management and outcomes were studied. Organ injuries were graded using the Organ Injury Scale guidelines. Results: Most of the patients in our study were in the age group of 21-40 years with an M: F ratio of 2.3:1. Road traffic accident (47.5%) was the most common mechanism of injury. Spleen (27.5%) was the commonest organ injured. CT scan was superior to FAST scan and had sensitivity of 97.3% specificity 75% positive predictive value 98.6%. FAST scan had sensitivity of 78.9%, specificity 50%, positive predictive value 96% with p- value of 0.0034. 81% of patients were conservatively managed. Conclusions: In conjunction with close clinical monitoring, CT scan is reliable in the evaluation and management of blunt abdominal trauma patients. Our study also shows CT as a superior diagnostic modality compared to FAST scan. Keywords: blunt abdominal trauma; CT scan; FAST scan; road traffic accident.http://jnma.com.np/jnma/index.php/jnma/article/view/2735 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Om Bahadur Karki |
spellingShingle |
Om Bahadur Karki The Role of Computed Tomography in Blunt Abdominal Trauma Journal of Nepal Medical Association |
author_facet |
Om Bahadur Karki |
author_sort |
Om Bahadur Karki |
title |
The Role of Computed Tomography in Blunt Abdominal Trauma |
title_short |
The Role of Computed Tomography in Blunt Abdominal Trauma |
title_full |
The Role of Computed Tomography in Blunt Abdominal Trauma |
title_fullStr |
The Role of Computed Tomography in Blunt Abdominal Trauma |
title_full_unstemmed |
The Role of Computed Tomography in Blunt Abdominal Trauma |
title_sort |
role of computed tomography in blunt abdominal trauma |
publisher |
Nepal Medical Association |
series |
Journal of Nepal Medical Association |
issn |
0028-2715 1815-672X |
publishDate |
2015-12-01 |
description |
Introduction: Blunt injury trauma is regularly encountered in the emergency department. Diagnostic tools that help in optimum management of blunt abdominal trauma include; Focussed Assessment Sonography for Trauma scan, Diagnostic peritoneal lavage and Computed Tomography scan. The aim of this study is to determine the validity of CT scan as an accurate diagnostic tool and its role in management of patients with blunt abdominal trauma.
Methods: A prospective analysis of 80 patients of blunt abdomen trauma who were admitted in Manipal Teaching Hospital, Pokhara, Nepal within a span of 15 months was done. Demographic data, mechanism of trauma, management and outcomes were studied. Organ injuries were graded using the Organ Injury Scale guidelines.
Results: Most of the patients in our study were in the age group of 21-40 years with an M: F ratio of 2.3:1. Road traffic accident (47.5%) was the most common mechanism of injury. Spleen (27.5%) was the commonest organ injured. CT scan was superior to FAST scan and had sensitivity of 97.3% specificity 75% positive predictive value 98.6%. FAST scan had sensitivity of 78.9%, specificity 50%, positive predictive value 96% with p- value of 0.0034. 81% of patients were conservatively managed.
Conclusions: In conjunction with close clinical monitoring, CT scan is reliable in the evaluation and management of blunt abdominal trauma patients. Our study also shows CT as a superior diagnostic modality compared to FAST scan.
Keywords: blunt abdominal trauma; CT scan; FAST scan; road traffic accident. |
url |
http://jnma.com.np/jnma/index.php/jnma/article/view/2735 |
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