Role of Multi Detector Computed Tomography in Evaluation of Abdominal Trauma

INTRODUCTION Abdominal injury constitutes a significant portion of all blunt and penetrating body injuries. As frequency of intra-abdominal injuries continues to increase worldwide, management inpatients with suspected abdominal injury is getting more complex. CT is an important and fast technique which gives rapid information on the type of abdominal injury and helps in management of the patient. AIMS AND OBJECTIVES 1. Determine the usefulness of MDCT findings in deciding the management of patients with blunt abdominal trauma.2. To diagnose and grade various abdominal injuries in trauma using MDCT. MATERIALS AND METHODS This PROSPECTIVE STUDY is carried out in patients admitted to our hospital with history of BAT during the period of september 2014 to september 2016. A total of 50 patients with BAT who underwent CT examination were included using SOMATOM EMOTION 16 slice MDCT. CT findings were compared with surgical findings in operated cases and rest were compared with the clinical outcome. RESULTS Among the 50 cases studied, 46 had positive CT findings of abdominal trauma, out of which 25 patients underwent surgery and the remaining were managed conservatively. In this study, the commonest organs affected were spleen and liver accounting for 40 % and 20 % respectively. CONCLUSION CT is an important imaging technique for diagnosis of organ injuries in patients with abdominal trauma. It helps in grading of the type of injury and deciding the management of patient. It is a highly sensitive imaging modality for the diagnosis of abdominal injuries.