Evaluation of three phases computed tomography scan findings in blunt abdominal trauma
Introduction: Blunt abdominal trauma is one of the important types of trauma and causes mortality in patients. Identifying the internal organ damage is necessary to proper management of trauma patients. Computed tomography (CT) scan is a powerful non-invasive imaging technique to assess internal org...
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2016-08-01
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| Series: | Journal of Analytical Research in Clinical Medicine |
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| Online Access: | http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-4-170.pdf |
| _version_ | 1828868715134844928 |
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| author | Mahboub Pouraghaei Mohammad Kazem Tarzamani Farzad Kakaei Payman Moharamzadeh Samad Shams Vahdati Yaser Rostami |
| author_facet | Mahboub Pouraghaei Mohammad Kazem Tarzamani Farzad Kakaei Payman Moharamzadeh Samad Shams Vahdati Yaser Rostami |
| author_sort | Mahboub Pouraghaei |
| collection | DOAJ |
| description | Introduction: Blunt abdominal trauma is one of the important types of trauma and causes mortality in patients. Identifying the internal organ damage is necessary to proper management of trauma patients. Computed tomography (CT) scan is a powerful non-invasive imaging technique to assess internal organ damages in blunt abdominal trauma. The aim of present study was to evaluate findings of CT scan with contrast in patient with blunt abdominal trauma. Methods: In this descriptive study, 290 patients with blunt abdominal trauma were studied who referred to emergency department of Imam-Reza Hospital of Tabriz University of Medical Sciences in Tabriz, Iran, from June 2014 to June 2015. Abdominal and pelvic CT scan with contrast was done using 1 detector CT scan machine in three phases (arterial phase, portal-venous phase and a delayed phase). Patients’ demographic information, cause of trauma, and CT scan findings were collected. Results: Mean age of patients was 26.3 ± 8.15 years. Male to female ratio was 1 to 0.42. Most common causes of blunt abdominal trauma were traffic accidents in 65.5% of patients, fall from height in 24.1% patients, and fall of heavy objects in 10.4% patients. Among all the patients, 57.6% had a detectable damage based on CT scanning. Based on CT scan findings, most common injuries were spleen injury in 20.0% of patients, liver injury in 18.9% of patients, and kidney injury in 8.9%. Conclusion: Traffic accidents were the most common cause of blunt abdominal trauma. Spleen, liver, and kidney injury were the most common internal organ damages based on CT scan findings. |
| first_indexed | 2024-12-13T05:36:09Z |
| format | Article |
| id | doaj.art-31d6469469dd47fba2b1a737e50eace4 |
| institution | Directory Open Access Journal |
| issn | 2345-4970 |
| language | English |
| last_indexed | 2024-12-13T05:36:09Z |
| publishDate | 2016-08-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Analytical Research in Clinical Medicine |
| spelling | doaj.art-31d6469469dd47fba2b1a737e50eace42022-12-21T23:57:55ZengTabriz University of Medical SciencesJournal of Analytical Research in Clinical Medicine2345-49702016-08-014317017410.15171/jarcm.2016.028JARCM_706_20160613233034Evaluation of three phases computed tomography scan findings in blunt abdominal traumaMahboub Pouraghaei0Mohammad Kazem Tarzamani1Farzad Kakaei2Payman Moharamzadeh3Samad Shams Vahdati4Yaser Rostami5Associate Professor, Department of Emergency Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranAssociate Professor, Road Traffic Injury Research Center, Department of Radiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Associate Professor, Department of Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranAssociate Professor, Department of Emergency Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranAssociate Professor, Road Traffic Injury Research Center, Department of Emergency Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranGenaral Practitioner, Department of Emergency Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: Blunt abdominal trauma is one of the important types of trauma and causes mortality in patients. Identifying the internal organ damage is necessary to proper management of trauma patients. Computed tomography (CT) scan is a powerful non-invasive imaging technique to assess internal organ damages in blunt abdominal trauma. The aim of present study was to evaluate findings of CT scan with contrast in patient with blunt abdominal trauma. Methods: In this descriptive study, 290 patients with blunt abdominal trauma were studied who referred to emergency department of Imam-Reza Hospital of Tabriz University of Medical Sciences in Tabriz, Iran, from June 2014 to June 2015. Abdominal and pelvic CT scan with contrast was done using 1 detector CT scan machine in three phases (arterial phase, portal-venous phase and a delayed phase). Patients’ demographic information, cause of trauma, and CT scan findings were collected. Results: Mean age of patients was 26.3 ± 8.15 years. Male to female ratio was 1 to 0.42. Most common causes of blunt abdominal trauma were traffic accidents in 65.5% of patients, fall from height in 24.1% patients, and fall of heavy objects in 10.4% patients. Among all the patients, 57.6% had a detectable damage based on CT scanning. Based on CT scan findings, most common injuries were spleen injury in 20.0% of patients, liver injury in 18.9% of patients, and kidney injury in 8.9%. Conclusion: Traffic accidents were the most common cause of blunt abdominal trauma. Spleen, liver, and kidney injury were the most common internal organ damages based on CT scan findings.http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-4-170.pdfComputed TomographyBluntAbdominal Trauma |
| spellingShingle | Mahboub Pouraghaei Mohammad Kazem Tarzamani Farzad Kakaei Payman Moharamzadeh Samad Shams Vahdati Yaser Rostami Evaluation of three phases computed tomography scan findings in blunt abdominal trauma Journal of Analytical Research in Clinical Medicine Computed Tomography Blunt Abdominal Trauma |
| title | Evaluation of three phases computed tomography scan findings in blunt abdominal trauma |
| title_full | Evaluation of three phases computed tomography scan findings in blunt abdominal trauma |
| title_fullStr | Evaluation of three phases computed tomography scan findings in blunt abdominal trauma |
| title_full_unstemmed | Evaluation of three phases computed tomography scan findings in blunt abdominal trauma |
| title_short | Evaluation of three phases computed tomography scan findings in blunt abdominal trauma |
| title_sort | evaluation of three phases computed tomography scan findings in blunt abdominal trauma |
| topic | Computed Tomography Blunt Abdominal Trauma |
| url | http://journals.tbzmed.ac.ir/JARCM/Manuscript/JARCM-4-170.pdf |
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