Assessment of Thoraco-abdominal injury pattern due to blunt trauma in Kashmiri Population by contrast enhanced Computerized Tomography (CECT)

ABSTRACT

Background: The most common causes of blunt abdominal trauma are motor vehicle collisions, falls from height, assaults, and sports accidents. Computed tomographic (CT) examination of the head, neck, chest, abdomen, and pelvis has become an essential element in the early evaluation and decision-making algorithm for hemodynamically stable patients who sustained abdominal trauma. Although the decision to surgically intervene is usually based on clinical criteria rather than findings from images. CT information often increases diagnostic confidence and decreases rates of unnecessary exploratory laparotomy. Aim and objective: To study the pattern of Thoraco-abdominal injuries due to Blunt Trauma in Kashmiri population. Methods and materials Study was done in the department of Radiodiagnosis and Imaging, GMC Srinagar. 64 patients with Positive extended FAST (focused assessment with sonography for trauma) done by expert in emergency Radiology were subjected to contrast enhanced CT. Results: According to our Study, Lung was the most commonly injured organ being injured in 67% cases followed by Spleen and Liver, being injured in 59% and 45% cases respectively. Most common pattern of lung injury was Contusion. Grade III was the most common grade of injury followed by Grade IV injury amongst splenic and liver injuries. Rib was the most commonly injured bone. Suhail Rafiq, Ishfaq Kuchay, Sheema, Sajad Dar. Assessment of Thoraco-abdominal injury pattern due to blunt trauma in Kashmiri Population by contrast enhanced Computerized Tomography (CECT). IAIM, 2019; 6(6) 23-31. Page 24 Conclusion: Multidetector CT has very high accuracy for optimal evaluation of the patients with Blunt trauma. CT plays a vital role in deciding mode of treatment whether medical or surgical for patients with blunt trauma. Lung was the most commonly injured organ in our study followed by Spleen and liver.