Blunt Abdominal Trauma. Using a combination of physical examination, ultrasound and CT scans

      Аннотация: Blunt abdominal trauma (BAT) is very common, and the prevalence of intra-abdominal injury following it has been reported to be as high as 12–15%. In a local study it was found that Out of seventy patients 66 patients of BAT were found to have solid organ injury(94.3%). Rapid diagnosis of abdominal injury is an important step in the treatment process to prevent morbidity or mortality in BAT cases. Rapid determination of cases in need of emergency laparotomy is crucial for life saving, especially for those with unstable hemodynamics, the avoidance of unnecessary surgeries with its invasiveness and complications should be considered. In a study, the PPV of DPL was 91.7%, which was found to be less than CT i.e. 100%. Another study has showed the PPV of CT was 82% for diagnosis of solid organ injury in BAT patients. In another study, PPV of DPL was 94%. Rationale of this study is to compare the positive predictive value of CT versus DPL for diagnosis of solid organ damage in patients with BAT. It has been observed that DPL can be used to replace CT scan. We wanted to conduct this study to find which modality was more feasible and applicable in all regions.

Ключевые слова: Computed tomography, Diagnostic Peritoneal Lavage, Solid Organ Damage, Blunt Abdominal Trauma