Role of CT in Blunt Hepatic Injury.
10.3348/jkrs.1994.31.3.501
- Author:
Hyun Joo PARK
;
Young Seok LEE
;
Hyung Sik KIM
;
Dal Mo YANG
;
Sook KANG
;
Hyo Sun CHUNG
- Publication Type:Original Article
- MeSH:
Decision Making;
Hemoperitoneum;
Hospitalization;
Humans;
Retrospective Studies;
Tomography, X-Ray Computed
- From:Journal of the Korean Radiological Society
1994;31(3):501-504
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to determine the role of the CT scan in blunt hepatic injury and the significance of CT degree of hepatic injury in the decision making of treatment plan. MATERIALS AND METHODS: We retrospectively analysed the CT findings of 22 patients with hepatic injury. We graded hepatic injury on CT scan into five according to the severity. Clinical records, type of management and clinical outcome of the patients were also reviewed. RESULTS: Of the 22 patients, 17 had conservative treatment and five had surgery. The numbers of patients treated conservatively were 0, 4, 11, 2 and 0 in the grade 1, 2, 3, 4 and 5, respectively and the numbers of surgically treated cases were 0, 0, 3, 2 and 0 respectively. There was no significant statistical difference between surgically and conservatively treated groups(p-value > 0.05). All patients with conservatively treated group were hemodynamically stable and had no complication during hospitalization. Hemoperitoneum was observed in 11 of 22 patients. CONCLUSION: In blunt hepatic injury, CT plays an important role in the demonstration of location and extent of the hepatic injury, size of hemoperitoneum and the post operative course. However, we believe that physiologic status of the patients may be more important than the extent of CT based hepatic injury for determining a mode of treatment.
