Preview

Radiology - Practice

Advanced search

Possibilities of Multidetector Computer Tomography in the Diagnosis of Blunt Abdominal Trauma (Literature Review and Clinical Observation)

Abstract

Blunt abdominal trauma up to the present time maintains a high medical and social importance. Diagnosis of this pathology needs to be quick and precise because the time factor may be crucial. The most informative method, which allows to improve the condition of the organs and structures of the abdominal cavity and retroperitoneal space, is multidetector computed tomography. The article presents a clinical case of blunt abdominal trauma, resulting from road accidents. Utilization multidetector computed tomography allowed us to determine the severity of internal injuries and to choose optimal treatment tactics.

About the Author

Aleksandra V. Romanova
Kavalerovo Central District Hospital, town. Kavalerovo, Primorsky Kray
Russian Federation

Head of Department of Radiodiagnostic



References

1. Abakumov M. M., Sharifulin F. A., Barmina T. G., Zabavskaya O. A., Smolar A. N., Bashlikov V. V. Computed tomography in diagnostics and treatment of traumatic retroperitoneal hemorrhage. Khirurgiia. 2011. No. 8. P. 19–23 (in Russian).

2. Agalaryan A. Kh. Surgical treatment and mortality in patients with abdominal injuries in polyitrauma. Polytrauma. 2014. No. 4. P. 24–31 (in Russian).

3. Blazhenko A. N., Zavrazhnov A. A. et al. Estimation of information value of methods of diagnostics combined and multiple injuries in the acute polytrauma phase in trauma center 1 st level. Skoraya medicinskaya pomoshch’. 2011. No. 4. P. 68—74 (in Russian).

4. Vladimirova E. S., Dubrov Eh. Ya., Smolyar A. N., Barmina T. G., Chernaya N. R. Diagnosis and choice of treatment tactics in blunt abdominal trauma. Radiologiya — praktika. 2010. No. 4. P. 49–62 (in Russian).

5. Dorovskih G. N., Degovcov E. N., Sedel’nikov S. S., Kozhedub S. A. Complex diagnostics of damages of abdominal cavity organs at the polytrauma. Radiologiya — praktika. 2013. No. 3. P. 4–14 (in Russian).

6. Maslyakov V. V., Avramenko A. V. The diagnostic value of the main clinical symptoms in the closed injuries of the spleen. Politrauma. No. 2. P. 52—56 (in Russian).

7. Romanova A. V. Relative analysis of effectiveness algorithms of radiodiagnosis at the abdominal trauma. Radiologiya — praktika. 2015. No. 3. P. 15–23 (in Russian).

8. Cap N. A., Zhukov V. A. Place computer tomography in diagnostic and choice of treatment tactics in abdominal and retroperitoneal injuries in children. Voronezh: Vestnik ehksperimental’noy i klinicheskoy khirurgii. 2010. T. 3. No. 4. P. 357–361 (in Russian).

9. Aziz M. U., Shahzad S., Mansoor M. A. Increased incidence of adrenal gland injury in blunt abdominal trauma: a computed tomography-based study from Pakistan. Chinese J. of Traumatology. 2014. V. 17. No. 1. P. 31—34.

10. Boscak A. R., Shanmuganathan K. Optimizing trauma multidetector CT protocol for blunt splenic injury: need for arterial and portal venous phase scans. Radiology. 2013. V. 268. No. 1. P. 79—88.

11. Drezin D., Minera F. Blunt polytrauma: evaluation with 64-section whole-body CT angiography. RadioGraphics. 2012. V. 32. P. 609—631.

12. Fu C. J., Wong Y. C. Computed tomography arterial portography for assessment of portal vein injury after blunt hepatic trauma. Diagn. Interv. Radiol. 2015. No. 21. P. 361—367.

13. Majid Shojaee, Gholamreza Faridaalaee, Mahmoud Yjusefifard. New scoring system for intra-abdominal injury diagnosis after blunt trauma. Chin. J. of Traum. 2014. No. 17 (1). P. 19–24.

14. Musiitwa M., Gallukande M. Emergency ultrasound predicting the need for therapeutic laparotomy amount blunt abdominal trauma patients in a Sub-Saharan African hospital. Emerg. Med. Intern. V. 2014. URL: http://dx.doi.org.

15. Petrowsky H., Reader S. et al. A quarter century experience in liver trauma: a plea for early computed tomography and conservative management for all hemodynamically stable patients. World J. Surg. 2012. V. 36. No. 2. P. 247—254

16. Soto J. A., Anderson S. W. Multidetector CT of blunt abdominal trauma. Radiology. 2012. V. 256. No. 3. P. 678—693.

17. Starling S. V., Azevedo C. I., Santana A. V. et al. Isolated liver gunshot injuries: nonoperative management is feasible? Rev. Col. Bras. Cir. 2015. V. 42. No. 4. P. 238—243.


Review

For citations:


Romanova A. Possibilities of Multidetector Computer Tomography in the Diagnosis of Blunt Abdominal Trauma (Literature Review and Clinical Observation). Radiology - Practice. 2017;(1):38-46. (In Russ.)

Views: 90


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2713-0118 (Online)