Abstract

Dr. Neha Dubey* and Dr. Abhijit Kishorkumar Sankhla

ABSTRACT

Background: Evaluating patients who have sustained blunt abdominal trauma (BAT) remains one of the most challenging and resource-intensive aspects of acute trauma care. Missed intra-abdominal injuries continue to cause preventable deaths. Aims & Objective: To analyse spectrum of MDCT findings in cases of blunt abdominal trauma presenting to the emergency radiology department. Materials and Methods: 92 cases of blunt abdominal injury admitted in during the period of June 2018 to Dec 2018 were included in the study after taking written informed consent. All these patients were thoroughly investigated. CT Scan was done for all hemodynamically stable patients. Recorded data included age, sex, type of injuries and scan results. Organ injuries were graded using the OIS (Organ Injury Scale) guidelines. Results: The study comprised of 92 patients having blunt abdominal injury. Majority of the patients were in the age group of 21-40 years. Most common organ injured was liver (34.78%), kidney (15.22%), spleen (10.87%), bowel injuries (8.70%) and pancreatic injuries (6.52%). Conclusion: In this study CT scan was highly useful in diagnosis of blunt abdominal trauma. OIS (organ injury scale) grading, quantification of hemoperitoneum and anatomical site of organ injury predict the management protocols in the majority of our patients.