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Computed tomography findings of abdominal trauma

Year 2012, Volume: 2 Issue: 4, 165 - 173, 01.12.2012
https://doi.org/10.5505/sakaryamj.2012.07769

Abstract

Abdominal trauma, the third most common cause of death after head, neck and chest injuries.%10 of trauma related deaths develops due to abdominal injury. Computed Tomography (CT) has been paving the biggest factor in the way for nonoperative treatment of blunt solid organ injuries. CT exposes accurately to the anatomy of injuries. It is provide very important information about, the amount of intraperitoneal fluid, retroperitoneal structures, and the gastrointestinal system. Today, it is very difficult the realization of solid organ injury with conservative treatment without CT. CT provides a significant contribution staging of trauma liver, spleen, kidney, pancreas and digestive tract, treatment and follow-up.

References

  • Novelline RA, Rhea JT, Bell T. Helical CT of abdominal trauma. Radiol Clin North Am 1999;37:591-612,vi-vii.
  • Wolfman NT, Bechtold RE, Scharling ES, Meredith JW. Blunt upper abdominal trauma: evaluation by CT. AJR Am J Roentgenol 1992;158: 493-501.
  • Wintermark M, Poletti PA, Becker CD, Schnyder P . Traumatic injuries: organization and ergonomics of imaging in the emergency environment. Eur Radiol 2002;12:959-968.
  • Fingerhut LA, Warner M: Injury Chatbook. Health, United States, 1996- 97.Hyattsville, MD, National Center for Health Statistics, 1997
  • Fischer RP, Beverghin BC, Engrav LH diagnostic peritoneal lavage : Fourteen years and 2586 patients later. Am Surg. 136:701,1978, 6, Renz BM, Feliciano DV : Unnecessary laparatomies for trauma:A prospective study of morbidity. J Trauma. 38:350-356,1995.
  • Wing VW, Federle MP, Morris JA, Jeffrey RB, Bluth R. The clinical impact of CT for blunt abdominal trauma. AJR Am J Roentgenol 1985;145: 1191-1194.
  • Federle MP. Computed tomography of blunt abdominal trauma. Radiol Clin North Am 1983;21:461-475
  • Shuman WP. CT of blunt abdominal trauma in adults. Radiology 1997;205:297-306
  • Delgado Millan MA, Deballon PO. Computed tomography, angiography, and endoscopic retrograde cholangiopancreatography in the nonoperative management of hepatic and splenic trauma. World J Surg 2001;25:1397-1402.
  • Matthes G, Stengel D, Seifert J, Rademacher G, Mutze S, Ekkernkamp A. Blunt liver injuries in polytrauma: results from a cohort study with the regular use of whole-body helical computed tomography. World J Surg 2003; 27:1124– 1130.
  • Malhotra AK, Fabian TC, Croce MA, Gavin TJ, Kudsk KA, Minard G, et al. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg2000; 231:804–813.
  • Maull KI. Current status of nonoperative managementof liver injuries. World J Surg 2001; 25:1403–1404.
  • Pachter HL, Hofstetter SR. The current status ofnonoperative management of adult blunt hepaticinjuries. Am J Surg 1995; 169:442–454.
  • Hagiwara A, Yukioka T, Ohta S, Tokunaga T, Ohta S, Matsuda H, et al. Nonsurgical management of patients with blunt hepatic injury:efficacy of transcatheter arterial embolization. AJR Am J Roentgenol 1997; 169:1151–1156.
  • Shanmuganathan K, Mirvis SE. CT scan evaluation of blunt hepatic trauma. Radiol Clin NorthNAm 1998; 36:399–411.
  • Miele V, Andreoli C, de Cicco ML, Adami L, David V. Hemoperitoneum associated with liver bare area injuries: CT evaluation. Eur Radiol 2002; 12:765–769.
  • Fang JF, Chen RJ, Wong YC, Lin BC, Hsu YB, Kao JL, et al. Pooling of contrast material on computed tomography mandatesaggressive management of blunt hepatic injury.Am J Surg 1998; 176:315–319.
  • Poletti PA, Mirvis SE, Shanmuganathan K,Killeen KL, Coldwell D. CT criteria for managementof blunt liver trauma: correlation with angiographic and surgical findings. Radiology 2000; 216:418–427
  • Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR. Organ injury scaling: spleen and liver (1994 revision). J Trauma 1995; 38:323–324.
  • Carrillo EH, Spain DA, Wohltmann CD, Schmieg RE, Boaz PW, Miller FB, et al. Interventional techniques are useful adjuncts innonoperative management of hepatic injuries.J Trauma 1999; 46:619–622.
  • Hsieh CH, Chen RJ, Fang JF, Lin BC, Hsu YP, Kao JL, et al. Liver abscess after non-operative management of blunt liver injury. Langenbecks Arch Surg 2003; 387:343–347.
  • 22. Basile KE, Sivit CJ, Sachs PB, Stallion A. Hepaticarterial pseudoaneurysm: a rare complication of blunt abdominal trauma in children. Pediatr Radiol 1999; 29:306–308.
  • Cuff RF, Cogbill TH, Lambert PJ. Nonoperativemanagement of blunt liver trauma: the value offollow-up abdominal computed tomographyscans. Am Surg 2000; 66:332–336.
  • Shanmuganathan K, Mirvis SE. CT scan evaluation of blunt hepatic trauma. Radiol Clin North Am 1998;36:399-411.
  • Bach RD, Frey CF. Diagnosis and treatment of pancreatic trauma. Am J Surg 1971;121:20-29.
  • Ilahi O, Bochicchio GV, Scalea TM. Efficacy of computed tomography in the diagnosis of pancreatic injury in adult blunt trauma patients: a single-institutional study. Am Surg 2002;68:704-707; discussion 707-708.
  • Sigler LH. Traumatic injuries of the heart incidence of its occurrence in 42 cases of severe accidental bodily injury. Am Heart J 1945;30:459-478.
  • Novelline RA, Rhea JT, Bell T. Helical CT of abdominal trauma. Radiol Clin North Am 1999;37:591-612, vi-vii.
  • Scatamacchia SA, Raptopoulos V, Fink MP, Silva WE. Splenic trauma in adults: impact of CT grading on management. Radiology 1989;171:725-729.
  • Sutyak JP, Chiu WC, D'Amelio LF, Amorosa JK, Hammond JS. Computed tomography is inaccurate in estimating the severity of adult splenic injury. J Trauma 1995;39:514-518.
  • Sherck J, Shatney C, Sensaki K, Selivanov V. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg 1994;168:670-675.
  • Denis R, Allard M, Atlas H, Farkouh E. Changing trends with abdominal injury in seatbelt wearers. J Trauma 1983;23:1007- 1008.
  • Hughes TM, Elton C, Hitos K, Perez JV, McDougall PA. Intra- abdominal gastrointestinal tract injuries following blunt trauma: the experience of an Australian trauma centre. Injury 2002;33:617- 626
  • Burney RE, Mueller GL, Coon WW, Thomas EJ, Mackenzie JR. Diagnosis of isolated small bowel injury. Ann Emerg Med 1983;12:71-74.
  • Horton KM, Fishman EK. Volume-rendered 3D CT of the mesenteric vasculature: normal anatomy, anatomic variants, and pathologic conditions. Radiographics 2002;22:161-172.
  • Rizzo MJ, Federle MP, Griffiths BG. Bowel and mesenteric injury following blunt abdominal trauma: evaluation with CT. Radiology 1989;173:14-148
  • Berkovich GY, Ramchandani P, Preate DL Jr, Rovner ES, Shapiro MB, Banner MP. Renal vein thrombosis after martial arts trauma. J Trauma 2001;50: 144-145.
  • Powell MA, Nicholas JM, Davis JW. Blunt ureteropelvic junction disruption. J Trauma 1999;47:186-188.
  • Imagıng of genitourinary trauma. Ramchandani P, Buckler PM. AJR Am J Roentgenol. 2009 Jun;192(6):1514-23. Review..
  • Kenney PJ, Panicek DM, Witanowski LS. Computed tomography of ureteral disruption. J Comput Assist Tomogr 1987;11:480-484..
  • Morgan DE, Nallamala LK, Kenney PJ, Mayo MS, Rue LW 3rd. CT cystography: Radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol 2000;174:89-95.

Abdominal travmalarda bilgisayarlı tomografi bulguları

Year 2012, Volume: 2 Issue: 4, 165 - 173, 01.12.2012
https://doi.org/10.5505/sakaryamj.2012.07769

Abstract

Karın travmaları; baş, boyun ve toraks travmalarından sonra üçüncü en sık ölüm nedenidir. Travmalara bağlı ölümlerin yaklaşık % 10' u abdominal yaralanmalara bağlı gelişir. Künt solid organ yaralanmalarının nonoperatif tedavisinin önünü açan en büyük faktör Bilgisayarlı Tomografi(BT) olmuştur. BT, yaralanmaların anatomisini doğru bir şekilde ortaya koyar. İntraperitoneal sıvının miktarı, retroperitoneal yapılar ve gastrointestinal sistem hakkında çok önemli bilgiler verir. Günümüzde BT olmadan solid organ yaralanmalarının konservatif tedavisinin gerçekleştirilmesi çok güçtür. BT karaciğer, dalak, böbrek, pankreas ve sindirim borusunun travma sonrası evrelemesi tedavi ve takibinde önemli katkılar sağlamaktadır.

References

  • Novelline RA, Rhea JT, Bell T. Helical CT of abdominal trauma. Radiol Clin North Am 1999;37:591-612,vi-vii.
  • Wolfman NT, Bechtold RE, Scharling ES, Meredith JW. Blunt upper abdominal trauma: evaluation by CT. AJR Am J Roentgenol 1992;158: 493-501.
  • Wintermark M, Poletti PA, Becker CD, Schnyder P . Traumatic injuries: organization and ergonomics of imaging in the emergency environment. Eur Radiol 2002;12:959-968.
  • Fingerhut LA, Warner M: Injury Chatbook. Health, United States, 1996- 97.Hyattsville, MD, National Center for Health Statistics, 1997
  • Fischer RP, Beverghin BC, Engrav LH diagnostic peritoneal lavage : Fourteen years and 2586 patients later. Am Surg. 136:701,1978, 6, Renz BM, Feliciano DV : Unnecessary laparatomies for trauma:A prospective study of morbidity. J Trauma. 38:350-356,1995.
  • Wing VW, Federle MP, Morris JA, Jeffrey RB, Bluth R. The clinical impact of CT for blunt abdominal trauma. AJR Am J Roentgenol 1985;145: 1191-1194.
  • Federle MP. Computed tomography of blunt abdominal trauma. Radiol Clin North Am 1983;21:461-475
  • Shuman WP. CT of blunt abdominal trauma in adults. Radiology 1997;205:297-306
  • Delgado Millan MA, Deballon PO. Computed tomography, angiography, and endoscopic retrograde cholangiopancreatography in the nonoperative management of hepatic and splenic trauma. World J Surg 2001;25:1397-1402.
  • Matthes G, Stengel D, Seifert J, Rademacher G, Mutze S, Ekkernkamp A. Blunt liver injuries in polytrauma: results from a cohort study with the regular use of whole-body helical computed tomography. World J Surg 2003; 27:1124– 1130.
  • Malhotra AK, Fabian TC, Croce MA, Gavin TJ, Kudsk KA, Minard G, et al. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg2000; 231:804–813.
  • Maull KI. Current status of nonoperative managementof liver injuries. World J Surg 2001; 25:1403–1404.
  • Pachter HL, Hofstetter SR. The current status ofnonoperative management of adult blunt hepaticinjuries. Am J Surg 1995; 169:442–454.
  • Hagiwara A, Yukioka T, Ohta S, Tokunaga T, Ohta S, Matsuda H, et al. Nonsurgical management of patients with blunt hepatic injury:efficacy of transcatheter arterial embolization. AJR Am J Roentgenol 1997; 169:1151–1156.
  • Shanmuganathan K, Mirvis SE. CT scan evaluation of blunt hepatic trauma. Radiol Clin NorthNAm 1998; 36:399–411.
  • Miele V, Andreoli C, de Cicco ML, Adami L, David V. Hemoperitoneum associated with liver bare area injuries: CT evaluation. Eur Radiol 2002; 12:765–769.
  • Fang JF, Chen RJ, Wong YC, Lin BC, Hsu YB, Kao JL, et al. Pooling of contrast material on computed tomography mandatesaggressive management of blunt hepatic injury.Am J Surg 1998; 176:315–319.
  • Poletti PA, Mirvis SE, Shanmuganathan K,Killeen KL, Coldwell D. CT criteria for managementof blunt liver trauma: correlation with angiographic and surgical findings. Radiology 2000; 216:418–427
  • Moore EE, Cogbill TH, Jurkovich GJ, Shackford SR, Malangoni MA, Champion HR. Organ injury scaling: spleen and liver (1994 revision). J Trauma 1995; 38:323–324.
  • Carrillo EH, Spain DA, Wohltmann CD, Schmieg RE, Boaz PW, Miller FB, et al. Interventional techniques are useful adjuncts innonoperative management of hepatic injuries.J Trauma 1999; 46:619–622.
  • Hsieh CH, Chen RJ, Fang JF, Lin BC, Hsu YP, Kao JL, et al. Liver abscess after non-operative management of blunt liver injury. Langenbecks Arch Surg 2003; 387:343–347.
  • 22. Basile KE, Sivit CJ, Sachs PB, Stallion A. Hepaticarterial pseudoaneurysm: a rare complication of blunt abdominal trauma in children. Pediatr Radiol 1999; 29:306–308.
  • Cuff RF, Cogbill TH, Lambert PJ. Nonoperativemanagement of blunt liver trauma: the value offollow-up abdominal computed tomographyscans. Am Surg 2000; 66:332–336.
  • Shanmuganathan K, Mirvis SE. CT scan evaluation of blunt hepatic trauma. Radiol Clin North Am 1998;36:399-411.
  • Bach RD, Frey CF. Diagnosis and treatment of pancreatic trauma. Am J Surg 1971;121:20-29.
  • Ilahi O, Bochicchio GV, Scalea TM. Efficacy of computed tomography in the diagnosis of pancreatic injury in adult blunt trauma patients: a single-institutional study. Am Surg 2002;68:704-707; discussion 707-708.
  • Sigler LH. Traumatic injuries of the heart incidence of its occurrence in 42 cases of severe accidental bodily injury. Am Heart J 1945;30:459-478.
  • Novelline RA, Rhea JT, Bell T. Helical CT of abdominal trauma. Radiol Clin North Am 1999;37:591-612, vi-vii.
  • Scatamacchia SA, Raptopoulos V, Fink MP, Silva WE. Splenic trauma in adults: impact of CT grading on management. Radiology 1989;171:725-729.
  • Sutyak JP, Chiu WC, D'Amelio LF, Amorosa JK, Hammond JS. Computed tomography is inaccurate in estimating the severity of adult splenic injury. J Trauma 1995;39:514-518.
  • Sherck J, Shatney C, Sensaki K, Selivanov V. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg 1994;168:670-675.
  • Denis R, Allard M, Atlas H, Farkouh E. Changing trends with abdominal injury in seatbelt wearers. J Trauma 1983;23:1007- 1008.
  • Hughes TM, Elton C, Hitos K, Perez JV, McDougall PA. Intra- abdominal gastrointestinal tract injuries following blunt trauma: the experience of an Australian trauma centre. Injury 2002;33:617- 626
  • Burney RE, Mueller GL, Coon WW, Thomas EJ, Mackenzie JR. Diagnosis of isolated small bowel injury. Ann Emerg Med 1983;12:71-74.
  • Horton KM, Fishman EK. Volume-rendered 3D CT of the mesenteric vasculature: normal anatomy, anatomic variants, and pathologic conditions. Radiographics 2002;22:161-172.
  • Rizzo MJ, Federle MP, Griffiths BG. Bowel and mesenteric injury following blunt abdominal trauma: evaluation with CT. Radiology 1989;173:14-148
  • Berkovich GY, Ramchandani P, Preate DL Jr, Rovner ES, Shapiro MB, Banner MP. Renal vein thrombosis after martial arts trauma. J Trauma 2001;50: 144-145.
  • Powell MA, Nicholas JM, Davis JW. Blunt ureteropelvic junction disruption. J Trauma 1999;47:186-188.
  • Imagıng of genitourinary trauma. Ramchandani P, Buckler PM. AJR Am J Roentgenol. 2009 Jun;192(6):1514-23. Review..
  • Kenney PJ, Panicek DM, Witanowski LS. Computed tomography of ureteral disruption. J Comput Assist Tomogr 1987;11:480-484..
  • Morgan DE, Nallamala LK, Kenney PJ, Mayo MS, Rue LW 3rd. CT cystography: Radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol 2000;174:89-95.
There are 41 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Hakan Önder This is me

Suzan Kuday This is me

Serkan Gür This is me

Faysal Ekici This is me

Cihad Hamidi This is me

Aşur Uyar This is me

Publication Date December 1, 2012
Submission Date September 7, 2015
Published in Issue Year 2012 Volume: 2 Issue: 4

Cite

AMA Önder H, Kuday S, Gür S, Ekici F, Hamidi C, Uyar A. Abdominal travmalarda bilgisayarlı tomografi bulguları. Sakarya Tıp Dergisi. December 2012;2(4):165-173. doi:10.5505/sakaryamj.2012.07769

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