Vedaraju Kadaba Shamachar1, Srinivas Maskal Revanna2, Chandalingappa Kuri3
AIM
The aim of our study was to assess the diagnostic role of Multi-detector computed Tomography (MDCT) in the evaluation and management of blunt abdominal trauma.
MATERIAL AND METHOD
A Prospective study of 100 patients referred to our department was conducted from January 2015 to December 2015. IV contrast and oral /rectal contrast were used. Multiplanar reformations were done. CT findings were analysed, compared and confirmed by either operative findings or follow-up CT scan.
RESULTS
100 cases with history of blunt abdominal trauma or diagnosed with ultrasonography were considered in this study. Ultrasound and MDCT of abdomen were performed. Spleen was the most common organ to be injured, USG findings and MDCT findings were compared with per operative findings. Patients who were managed conservatively were compared with repeat follow up CT findings. USG showed a sensitivity of 93.7% and specificity of 100% in solid organs injury and sensitivity of 84% and specificity of 100% in free fluid detection. MDCT showed a sensitivity of 100% and specificity of 100% in solid organs injury and 100% in haemoperitoneum.
CONCLUSION
MDCT is the modality of choice to evaluate blunt abdominal injury and to determine the appropriate management, either surgical intervention or conservative management.
