Multidetector computed tomography findings in patients with abdominal crush trauma due to Kahramanmaraş centered earthquakes
Abstract
Purpose: This study aimed to investigate the characteristics of abdominal crush injuries using multidetector computed tomography (MDCT) in survivors of earthquakes centered in Kahramanmaraş.
Materials and Methods: Retrospective evaluation was conducted on 255 patients who sustained injuries due to an earthquake centered in Kahramanmaraş and were treated at our hospital. Patients clinically suspected of having abdominal crush trauma underwent MDCT examinations. The presence of abdominal wall injuries, solid organ injuries, free fluid in the abdomen, pneumoperitoneum, and subcutaneous emphysema findings were examined.
Results: The median time between injury and MDCT examination was 3 days, ranging from 4 hours to 8 days. Among pediatric and adult age groups, males constituted 42.6% (52/122) and 47.4% (63/133), while females were 57.4% (70/122) and 52.6% (70/133), respectively. The mortality rates for pediatric and adult age groups were 0.4% (1/122) and 4.3% (11/133), respectively. Among patients with fatal outcomes, rates of acute kidney injury, subcutaneous emphysema, spleen injuries, and renal/perirenal injuries were 8.3% (1/12), liver and abdominal wall injuries were 16.7% (2/12), and free fluid in the abdomen was observed at a rate of 33.3% (4/12).
Conclusion: Abdominal wall injuries were the most frequently observed manifestations of crush injuries, with renal/perirenal injuries being the most common among solid organs, and liver injuries being commonly seen among intraperitoneal organs. These findings underscore important characteristics of abdominal crush trauma related to earthquakes.
Keywords
Multidetector Computed Tomography , Earthquakes , Abdominal Crush , Trauma
References
- USGS. Fault Rupture Mapping of the 6 February 2023 Kahramanmaras, Turkiye, Earthquake Sequence from Satellite Data. 2023. DOI:10.5066/P985I7U2.
- 1.5 million now homeless in Türkiye after quake disaster, warn UN development experts. UN GENEVA. 2023; published online Feb 21. https://www.ungeneva.org/en/news-media/news/2023/02/78128/15-million-now-homeless-turkiye-after-quake-disaster-warn-un.
- Hussain E, Kalaycıoğlu S, Milliner CWD, Çakir Z. Preconditioning the 2023 Kahramanmaraş (Türkiye) earthquake disaster. Nat Rev Earth Environ. 2023;4:287-289.
- Fabian TC, Bee TK, Cagianos C, Miller PR, Croce MA, Stewart RM et al. Current issues in trauma. Curr Probl Surg 2002;39:1160–244.
- Hughes TMD, Elton C. The pathophysiology and management of bowel and mesenteric injuries due to blunt trauma. Injury 2002;33:295–302.
- Soto JA, Anderson SW. Multidetector CT of blunt abdominal trauma. Radiology 2012;265:678–93.
- Kowal-Vern A, Sharp-Pucci MM, Walenga JM, Dries DJ, Gamelli RL. Trauma and thermal injury: comparison of hemostatic and cytokine changes in the acute phase of injury. J Trauma Acute Care Surg 1998;44:325–9.
- Daly KP, Ho CP, Persson DL, Gay SB. Traumatic retroperitoneal injuries: review of multidetector CT findings. Radiographics 2008;28:1571–90.
- Chen T-W, Yang Z-G, Dong Z-H, Shao H, Chu Z-G, Tang S-S. Abdominal crush injury in the Sichuan earthquake evaluated by multidetector computed tomography. World J Radiol 2011;3:135.
- Chen T, Yang Z, Dong Z, Chu Z, Tang S, Deng W. Earthquake-related crush injury versus non-earthquake injury in abdominal trauma patients on emergency multidetector computed tomography: a comparative study. J Korean Med Sci 2011;26:438–43.
