COMPUTED TOMOGRAPHY FINDINGS IN PATIENTS WITH ACUTE BLUNT ABDOMINAL TRAUMA. OUR EXPERIENCE AT KING HUSSEIN MEDICAL CENTER | ||
| The Egyptian Journal of Surgery | ||
| Volume 32, Issue 3, July 2013, Pages 208-213 PDF (2.33 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2013.366733 | ||
| Authors | ||
| Asem A. Al-Hiari* 1; Khalid Y. Al Ajarmeh2 | ||
| 1Consultant Radiologist, King Hussein Medical Center, Amman, Jordan | ||
| 2Consultant Surgeon, King Hussein Medical Center, Amman, Jordan | ||
| Abstract | ||
| Purpose: The aim of this study is to evaluate the role and review the findings of computed tomography (CT scan) in determining the nature, type and associated findings of internal organ injuries due to acute blunt abdominal trauma, and then to evaluate the result of the CT scan on the decision of the surgeon. . Methods: The surgical team evaluated the cases and wrote-down their notes before and after abdominal CT in 285 patients who presented to the emergency room due to acute abdominal trauma between January 2007 and January 2009. The study was done at King Hussein Medical Center, Amman-Jordan. The sample included 193 males (68%) and 92 females (32%), with an age range of 2-78 years (mean age, 23.5 years). The surgeon was asked to estimate the probability of an underlying internal abdominal organ injury, which organ was suspected to be injured and if they are suspecting other associated complication like hemo or pneumo peritoneum. Results: The CT scan results changed the surgeons' initial suspicion in 188 patients (66%). Management plans changed in 82 patients (29%). Admission into Intensive Care unit has decreased by (35%). Conclusion: CT scans is extremely helpful in initial evaluation of patients with acute blunt abdominal injuries particularly in haemodynamically-stable patients. It is fast and widely available. The study showed strong effect on surgeons' clinical diagnoses and treatment plans. | ||
| Keywords | ||
| Blunt abdominal trauma; computed tomography | ||
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