J Korean Radiol Soc.  1986 Jun;22(3):392-397. 10.3348/jkrs.1986.22.3.392.

Evaluation of abdominal trauma by computed tomography and ultrasonography

• Lee DY
• Kim SJ
• Lee JT
• Yoo HS

• KMID: 2462341
• DOI: http://doi.org/10.3348/jkrs.1986.22.3.392

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.

MeSH Terms

Abdomen
Diagnosis
Emergencies
Follow-Up Studies
Hematoma
Hemoperitoneum
Hernia, Diaphragmatic
Humans
Kidney
Lacerations
Pancreas
Rupture
Tomography, X-Ray Computed
Ultrasonography*