The Role of Multislice Multidetector CT (MDCT) in Abdominal Trauma

Giant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter. Now infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. Proton pump inhibitors reportedly achieve better healing rates and symptom relief in comparison to H2RA. The GGU is associated with high incidence of serious complications such as hemorrhage. A perforated GGU though rare (<2%) offers serious challenges in management. We report one such case wherein the role of multidetector CT scan (MDCT) for diagnosis and treatment planning, surgical options for GGU perforations, and factors affecting outcome are discussed.

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Facial reconstruction project

Journal of Biological Research - Bollettino della Società Italiana di Biologia Sperimentale ◽

10.4081/jbr.2005.10239 ◽

1970 ◽

Vol 80 (1) ◽

Author(s):

Federico Cesarani ◽

Maria Cristina Martina ◽

Valter Capussotto ◽

Andrea Giuliano ◽

Renato Grilletto ◽

...

Keyword(s):

3D Model ◽

Multidetector Ct ◽

Three Dimensional ◽

Facial Reconstruction ◽

Digital Data ◽

Egyptian Mummy ◽

Ancient Egyptian ◽

Synthetic Materials ◽

Reconstruction Project

Facial reconstruction of mummies and corpses is important in anthropological, medical and forensic studies. The purpose of our study was to evaluate the role of three- Dimensional Multidetector CT examination for 3D facial reconstruction. We present a multidisciplinary work performed by radiologists, anthropologists and forensic police in reconstructing the possible physiognomy of an ancient Egyptian mummy. Three-Dimensional data were obtained from a well-preserved completely wrapped Egyptian mummy from the collection of the Egyptian Museum in Torino, Italy, dated from XXII or XXIII dynasty (945-715 BC). Data were used as a model for the rapid prototyping stereolithographic technique, a method which allows the creation of 3D model with digital data using synthetic materials such as resin or nylon.

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Role of laparoscopic in abdominal trauma

Cirugía Andaluza ◽

10.37351/2019301.19 ◽

2019 ◽

Vol 30 (1) ◽

pp. 1241-128

Author(s):

A Sánchez Arteaga ◽

L Tallón Aguilar ◽

V Camacho Marente ◽

J Pintor Tortolero ◽

MJ Tamayo López ◽

...

Keyword(s):

Abdominal Trauma ◽

Laparoscopic Management ◽

Intestino Delgado

Resumen Introducción: el abordaje laparoscópico en los pacientes politraumatizados continúa siendo infrecuente. Su empleo es aceptado en el traumatismo abdominal penetrante (TAP), si bien constituye objeto de controversia en el traumatismo abdominal cerrado (TAC). El objetivo de este estudio es analizar nuestra experiencia del abordaje laparoscópico en el paciente con traumatismo abdominal y revisar la literatura. Material y métodos: estudio observacional, descriptivo, retrospectivo de pacientes admitidos en los Hospitales Universitarios Virgen del Rocío y Virgen Macarena (Sevilla) que fueron sometidos a una laparoscopia diagnóstica y/o terapéutica tras sufrir un traumatismo abdominal. Se recogen variables demográficas, tipo de trauma, pruebas diagnósticas, tipo de lesión, tratamientos realizados y resultados. Posteriormente se realizó una revisión de la literatura a través del motor de búsqueda PubMed, empleando las palabras "laparoscopy AND abdominal trauma" y "laparoscopic management AND trauma". Resultados: se describieron trece pacientes (seis y siete casos en cada centro), con una media de edad de 41 años. Nueve pacientes sufrieron un TAP por herida por arma blanca (70%), siendo el resto TAC (4, 30%). En tres pacientes (23%), se requirió conversión a laparotomía debido a hallazgos de lesiones complejas. En cuatro casos (30%) la exploración laparoscópica no demostró lesiones. Los procedimientos realizados incluyeron reparación diafragmática, sutura primaria de intestino delgado, lavado de la cavidad abdominal, y sutura de perforación gástrica. Conclusión: el abordaje laparoscópico puede ser considerado en pacientes con traumatismo abdominal, en casos de estabilidad hemodinámica. Su realización debe ser llevada a cabo por cirujanos con experiencia en el manejo del paciente politraumatizado, así como en la cirugía laparoscópica.

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The Role Of Multidetector CT In Revised Atlanta Classification Of Acute Pancreatitis

Benha Medical Journal ◽

10.21608/bmfj.2021.91987.1467 ◽

2021 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

Nesma Ellithy ◽

Eman Abdelkhalik ◽

Hesham Farouk

Keyword(s):

Acute Pancreatitis ◽

Multidetector Ct

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Role of Liver Enzymes in Patients with Blunt Abdominal Trauma to Diagnose Liver Injury

10.21203/rs.3.rs-40069/v1 ◽

2020 ◽

Author(s):

Anup Shrestha ◽

Harish Chandra Neupane ◽

Kishor Kumar Tamrakar ◽

Abhishek Bhattarai ◽

Gaurav Katwal

Keyword(s):

Liver Injury ◽

Confidence Interval ◽

Ct Scan ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Predictive Value ◽

Liver Enzymes ◽

Tertiary Center ◽

Significant Difference

Abstract Background:The liver is the second most injured organ following blunt abdominal trauma (BAT) after spleen. Although the computed tomography (CT) scan is considered as the gold standard for diagnosing liver injury in BAT, it is not readily available in the hospital. This study was performed to evaluate the role of aspartate transaminase (AST) and alanine transaminase (ALT) in patients with BAT and its significance in predicting the diagnosis and severity of the liver injury.Method:The study was conducted in Chitwan Medical College Teaching Hospital (CMCTH) study from February 2019 to May 2020. During that period 96 patients with BAT presented to the emergency department(ED) of CMCTH.Results:Among the 96 patients admitted with BAT, 38 patients had liver injury and 58 patients had no liver injury. The median length of the intensive care unit (ICU) stay of patients with liver injury was higher than without liver injury. There was a significant difference in the median level of AST and ALT (<0.001) between patients with liver injury and no liver injury. The area under the ROC curve of AST was 0.89(95% Confidence Interval 0.86-0.98) and of ALT was 0.92(95% Confidence Interval 0.83-0.97). The area under the curve demonstrated that the test was a good predictor for the identification of liver injury and also the severity of liver enzymes. The cut-off values for the liver injury were 106 U/l and 80 U/l for AST and ALT respectively. Based on these values, AST ≥ 106 U/l had a sensitivity of 71.7 %, a specificity of 90 %, a positive predictive value of 86.8 %, and a negative predictive value of 77.6 %. The corresponding values for ALT ≥ 80 U/l were 77.8 %, 94.1%, 92.1% and 82.8 %, respectively.ConclusionIn conclusion, we report the optimal cut-off value of AST and ALT for liver injury in BAT as ≥ 106 U/l and 80 U/l respectively. The elevated level of AST and ALT might assist the surgeons to timely refer the suspected patients with the liver to a tertiary center and it might help the surgeons to go for conservative management for minor liver injuries in BAT preventing the exposure hazards of the CT scan.

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Role of multidetector computed tomography in evaluation of abdominal trauma in Sothern Rajasthan, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20192526 ◽

2019 ◽

Vol 7 (6) ◽

pp. 2350

Author(s):

Puran . ◽

Narendra Kumar Kardam

Keyword(s):

Computed Tomography ◽

Multidetector Computed Tomography ◽

Abdominal Trauma ◽

Imaging Modality ◽

Abdominal Injury ◽

Male Predominance ◽

Ct Findings ◽

Highly Sensitive

Background: Abdominal injury constitutes a significant portion of all blunt and penetrating body injuries. Computed tomography is an important and fast technique which gives rapid information on the type of abdominal injury and helps in management of the patient accordingly. The aim of the present study was to evaluate the usefulness of Multidetector Computed Tomography (MDCT) in detection of intra-abdominal injury in patients with blunt abdominal trauma and to provide information that could accurately determine choice of management (non- operative versus operative). And to correlate the computed tomography (CT) findings with either clinical observation, follow up CT scan (if required) or surgical findings (wherever applicable).Methods: A total of 50 patients with abdominal trauma who underwent computed tomography (CT) examination were included. CT findings were compared with surgical findings in operated cases, and in the rest CT findings were compared by clinical outcome.Results: Among the 50 cases studied, all 50 had positive CT findings of abdominal trauma, out of which 24 patients underwent surgery and the remaining were managed conservatively. The age group of the patients was ranging from 8 to 66 years with male predominance. In this study the commonest organs affected were liver and spleen accounting for 48% and 44% respectively.Conclusions: Computed tomography is an important and highly sensitive imaging modality for diagnosis of organ injuries in patients with abdominal trauma and accordingly deciding the management of patient.

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