Findings requiring immediate surgery in blunt abdominal trauma patients with isolated free fluid without solid organ injury on abdominal computed tomography: Retrospective laboratory, clinical and radiologic analysis. A case control study

2020 ◽  
Vol 77 ◽  
pp. 146-153 ◽  
Author(s):  
Pil Young Jung ◽  
Eung Joo Park ◽  
Hongjin Shim ◽  
Ji Young Jang ◽  
Keum Seok Bae ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Control Study ◽  
Case Control ◽  
Organ Injury ◽  
Free Fluid ◽  
Trauma Patients ◽  
Solid Organ ◽  
Solid Organ Injury ◽  
Immediate Surgery ◽  
Control Study

The Management of Blunt Abdominal Trauma Patients with Computed Tomography Scan Findings of Free Peritoneal Fluid and No Evidence of Solid Organ Injury

2006 ◽  
Vol 72 (10) ◽  
pp. 943-946 ◽  
Author(s):  
Sara Yegiyants ◽  
Gilbert Abou-Lahoud ◽  
Edward Taylor
Keyword(s):  
Computed Tomography ◽  
Peritoneal Fluid ◽  
Medical Center ◽  
Organ Injury ◽  
Trauma Patients ◽  
Solid Organ ◽  
Solid Organ Injury ◽  
Abdominal Sonography ◽  
Ct Findings ◽  
Free Peritoneal Fluid

Modalities available for the diagnosis of blunt abdominal traumatic (BAT) injuries include focused abdominal sonography for trauma, diagnostic peritoneal lavage, and computed tomography (CT) of the abdomen/pelvis. Hollow viscous and/or mesenteric injury (HVI/MI) can still be challenging to diagnose. Specifically, there is debate as to the proper management of BAT when CT findings include free peritoneal fluid but no evidence of solid organ injury (SOI). Our objective was to determine the incidence of HVI/MI and to evaluate the management of BAT patients with CT findings of peritoneal fluid without evidence of SOI. An Institutional Review Board-approved retrospective chart review was conducted of all BAT patients with peritoneal fluid on CT admitted to Kern Medical Center from January 1, 2003 to July 31, 2004. A total of 2651 trauma admissions yielded 79 patients. Fourteen of these had no evidence of SOI. Nonoperative management was successful in only 2 of these 14, whereas 12 required an operation, with 11 being therapeutic. Trigger to operate and time from presentation to laparotomy was hypotension in three patients (164 minutes), signs of HVI/MI on CT in two patients (235 minutes), diaphragm injury on CT in one patient (95 minutes), and for peritoneal signs in six patients (508 minutes). In BAT patients with peritoneal fluid on CT without evidence of SOI, there should be a high suspicion of HVI/MI. Relying on increasing abdominal tenderness to trigger laparotomy can result in delayed treatment.

Significance of Computed Tomography Finding of Intra-Abdominal Free Fluid Without Solid Organ Injury after Blunt Abdominal Trauma: Time for Laparotomy on Demand

2013 ◽  
Vol 38 (6) ◽  
pp. 1411-1415 ◽  
Author(s):  
Ismail Mahmood ◽  
Zainab Tawfek ◽  
Yassir Abdelrahman ◽  
Tariq Siddiuqqi ◽  
Husham Abdelrahman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Organ Injury ◽  
Free Fluid ◽  
Solid Organ ◽  
Solid Organ Injury ◽  
On Demand ◽  
Tomography Finding

Free fluid on abdominal computed tomography without solid organ injury after blunt abdominal injury does not mandate celiotomy

2001 ◽  
Vol 182 (1) ◽  
pp. 6-9 ◽  
Author(s):  
David H Livingston ◽  
Robert F Lavery ◽  
Marian R Passannante ◽  
Joan H Skurnick ◽  
Stephen Baker ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Injury ◽  
Organ Injury ◽  
Free Fluid ◽  
Solid Organ ◽  
Solid Organ Injury ◽  
Abdominal Computed Tomography ◽  
Blunt Abdominal Injury

scholarly journals A Comparison of Computed Tomography Measures for Diagnosing Cervical Spinal Stenosis Associated with Myelopathy: A Case-Control Study

2015 ◽  
Vol 9 (1) ◽  
pp. 22 ◽  
Author(s):  
Brett A Freedman ◽  
C Edward Hoffler ◽  
Brian M Cameron ◽  
John M Rhee ◽  
Maneesh Bawa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Spinal Stenosis ◽  
Case Control Study ◽  
Case Control ◽  
Cervical Spinal Stenosis ◽  
Control Study
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