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Computed tomography scan as a first line investigation in blunt abdominal trauma

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Ishwar Charan, Namrata Jagawat, Akhil Kapoor and Vijay Haralgat Seetharamaiha

Introduction: CT is the imaging method of choice in the evaluation of abdominal and pelvic injuries after blunt trauma. CT scan is a one stop shop as it detects solid organ injury, hollow viscus injury, vascular injury and bony injury. Intravenous (IV) contrast material is necessary because solid viscus laceration or hematoma may be relatively isodense to unenhanced or poorly enhanced solid viscera. Materials and Methods: This study was undertaken to study the role of computed tomography in abdominal organ injury detection in patients with blunt abdominal trauma where USG findings are equivocal, inconclusive or where USG has no role. Thirty patients of blunt abdominal trauma underwent MD CT scan prior to surgical intervention in our hospital. Results: The spectrum of CT findings included liver injury in 10(33.33%) patients followed by splenic injury in 4 patients (13.33%). Out of 30, 20 (66.66%) patients underwent surgical intervention on the basis of radiological findings. Conclusions: MDCT has now come of age in the detection and demonstration of blunt traumatic abdominal injuries and real boon for the referring surgeon.

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