The Accuracy of Computed Tomography in Blunt Abdominal Trauma in unusual times

Abstract

Background: A potential research for the evaluation of CT scan accuracy in blunt abdominal trauma was
carried out by comparing operative and CT scan observation. About 60 patients undertook the blunt abdominal
trauma in three years. CT scan was performed on these stabilized patients for its further comparison with
operative results. Moreover, all the documented data comprised of scan results, sex, age and type of injuries.
Aim of Study: The objective of our current research was to discover the accuracy of CT scan results for
blunt abdominal trauma which was evaluated by surgeons in duty compare with operative findings.
Results: From 60 patients, 40 pts (66 .6 %) underwent surgery. 20 pts (33.3%) were conservatively
managed. 5 pts were died. Hemoperitoneum was perceived in fifty five patients. The patients having little
hemoperitoneum on CT scan along with reasonable clinical observations were conventionally managed
whereas those patients having huge hemoperitoneum needed surgical investigation. Out of all the patients
involved in study, 13 had splenic, 3 pancreatic, 15 hepatic, 4 vascular and 5 renal injuries, however, 12
showed retroperitoneum hematoma.
Conclusion: In comparison between clinical monitoring, CT in the evaluation of blunt abdominal trauma
with accuracy 86-100% (over all accuracy 94%).