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The utility of Sonography in the assessment of Blunt Abdominal Trauma | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 1, Issue 161, 2012, Pages 86-92 | ||
| Authors | ||
| Ayoub Mutlak Zedan; Usama Murad Ibraheem | ||
| Abstract | ||
| Objectives: To evaluate the diagnostic value of ultrasound in detecting intraabdominal injuries in patients with Blunt Abdominal Trauma (BAT). Patients and Methods: The study was conducted in the department of radiology .A total of 30 patients with blunt abdominal trauma were included. They all underwent Ultrasonography (US) followed by Computed Tomographic (CT) scan of abdomen. Sensitivity, specificity, and accuracy of US in detecting intraabdominal injury were calculated keeping CT findings as gold standard. The cases in which laparotomy was performed; the surgical findings were taken as the standard. Results: US examinations were positive in 16 patients. Of these, 8 (50%) had free intra-abdominal fluid only, 7 (43.8%) had both free intra-abdominal fluid and intraabdominal organ injury and 1 (6.2%) had intra-abdominal organ injury only. True-positive findings were seen in 12 (75.0%) of these on CT and/or laparotomy.There was one false negative case. Sensitivity, specificity, and accuracy of US in detecting intraabdominal injury were 93.3%, 86.6%, and 90%, respectively. Conclusion: Ultrasonography has high diagnostic performance in the screening the patients with blunt abdominal trauma. | ||
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