Evaluation of abdominal trauma by computed tomography and ultrasonography
10.3348/jkrs.1986.22.3.392
- Author:
Do Yun LEE
;
Sang Jin KIM
;
Jong Tae LEE
;
Hyung Sik YOO
- Publication Type:Original Article
- MeSH:
Abdomen;
Diagnosis;
Emergencies;
Follow-Up Studies;
Hematoma;
Hemoperitoneum;
Hernia, Diaphragmatic;
Humans;
Kidney;
Lacerations;
Pancreas;
Rupture;
Tomography, X-Ray Computed;
Ultrasonography
- From:Journal of the Korean Radiological Society
1986;22(3):392-397
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Out of 75 patients who were admitted to our hospital because of abdominal trauma and were undergone theprocedures such as ultrasonography and/or CT scan within 24 hours of abdominal trauma due to suspected abdominalorgan injury. We analyzed the results of 38 patients who were confiremd of diagnosis by operation, follow-up CTscan or ultrasonography. 1. In the abdominal organ injury, solid organ injury consists of 8 cases of spleenlaceration, 1 of splenic subcapsular hematoma, 7 of hepatic laceration, 7 of pancreas laceration, 3 of renallaceration, and 3 of subcapsular hematoma of kidney. 2. In addition, there were 7 bowel and/or mesentericlaceration, 2 diaphragmatic hernia, and 1 urethral rupture. 3. 2 cases fo retroperitoneal hematoma and 1 case inwhich hemoperitoneum occurred without abdominal organ injury were confirmed by follow-up CT or ultrasonography. 4.In all of the 4 patients with multiple organ injury, pancreatic laceration was associated. 5. In abdominal traumapatients, ultrasonography or CT can be used to survey rapidly the entire abdomen for possible associated injury,and be of great help to clinicians in identifying the patients who need immediate surgery or in minimizing theincidence of unnecessary emergency abdominal exploration.
