In Reply: Is Hypaque Dangerous?

PEDIATRICS ◽  
1989 ◽  
Vol 83 (4) ◽  
pp. 650-650
Author(s):  
JOHN J. CRONAN ◽  
GARY S. DORFMER
Keyword(s):  
Transit Time ◽  
Abdominal Trauma ◽  
Ct Scans ◽  
Rapid Transit ◽  
Interesting Point ◽  
Bowel Motility ◽  
Ideal Medium ◽  
Bowel Opacification ◽  
Trauma Ct

Drs Schlechter and Besserman have raised an interesting point concerning the use of diatrizoate sodium in abdominal trauma CT scans. We believe strongly that it is important to obtain excellent bowel opacification in order that injuries to the bowel can be delineated. Without bowel opacification, CT has little possibility of actually being able to discern mesenteric injuries, bowel hematomas, and areas of bowel laceration. Diatrizoate sodium is an ideal medium in this need because it provides excellent bowel opacification even in the setting of slowed bowel motility achieving a rapid transit time.

Is Hypaque Dangerous?

PEDIATRICS ◽  
1989 ◽  
Vol 83 (4) ◽  
pp. 650-650
Author(s):  
ROBERT SCHLECHTER ◽  
ABRAHAM BESSERMAN
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Ct Scanning ◽  
Ct Scans ◽  
Solid Organ ◽  
Abdominal Ct ◽  
Injured Child ◽  
Gastric Distention ◽  
Close Observation

Concerning the use of diatrizoate sodium (Hypaque) in abdominal CT scans described by Kane et al (Pediatrics 1988;82:11-15), we agree that there is certainly much to be gained from CT scanning in blunt abdominal trauma. We question the routine use of diatrizoate sodium in an injured child predisposed to gastric distention and vomiting. This is particularly dangerous when he or she is prone and restrained and close observation at the bedside is not possible. Solid organ injuries are well demonstrated without contrast, and injury to a viscus can be evaluated clinically and by routine roentgenographic procedures.

scholarly journals Free Fluid Accumulation following Blunt Abdominal Trauma: Potential for Expansion of the Fast Protocol

2009 ◽  
Vol 16 (2) ◽  
pp. 70-75
Author(s):  
N Simpson ◽  
P Page ◽  
DM Taylor
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Peritoneal Fluid ◽  
Injury Severity ◽  
Iliac Fossa ◽  
Fluid Collection ◽  
Rectus Muscle ◽  
Ct Scans ◽  
Free Fluid ◽  
The Right

Objective To determine sites of free intra-peritoneal fluid collection following blunt abdominal trauma, with a view to refinement of the Focused Assessment by Sonography for Trauma (FAST) protocol. Methods This was a retrospective observational study of CT scans of subjects who had suffered blunt abdominal trauma and had free intra-peritoneal fluid detected on CT scan within 24 hours. The depth from the skin and amount of fluid at 14 abdominal sites were determined. Results CT scans of 105 patients were examined: 68 (64.8%) were male, mean age 36.7±18.4 years, mean injury severity score 25.4±11.6. Fluid collected most commonly at three sites: right mid-axillary line at the level of the xiphisternum (52 patients, 49.5%), lateral margin of the right rectus muscle at the level of the anterior superior iliac spine (49 patients, 46.7%) and right mid-axillary line at the level of the umbilicus (40 patients, 38.1%). Mean depth of fluid at these sites were 3.6, 3.6 and 4.2 cm, respectively. Conclusions Free fluid collects commonly in the area of the right iliac fossa following blunt abdominal trauma. The inclusion of this site in the FAST protocol may increase the ultrasonographic detection of free fluid in the acute trauma setting.

scholarly journals Comparison of efficacy of CT scan and ultrasound in patients with blunt abdominal trauma

2017 ◽  
Vol 4 (2) ◽  
pp. 370
Author(s):  
M. L. Ravindernath ◽  
G. Mahender Reddy
Keyword(s):  
Ct Scan ◽  
Abdominal Trauma ◽  
Diagnostic Tool ◽  
Blunt Abdominal Trauma ◽  
Ct Scans ◽  
Patient Needs ◽  
Common Cause ◽  
The Past ◽  
Appropriate Treatment ◽  
Life Threatening

Background: Trauma has become one of the most common cause of hospitalization. The main reason for imaging and screening the patients is to identify the life-threatening injuries as soon as possible so that appropriate treatment can be given immediately.  In the past few years, both USG and CT have been widely used to detect the abdominal trauma and have replaced the older methods. This study was undertaken to compare the efficacy of CT scans and Ultrasound in the patients with blunt abdominal trauma.Methods: Patients who had come to our hospital with blunt abdominal trauma and who were stable enough to undergo both USG and CT scans were included into the study. Apart from routine tests, both USG and CT scans were performed for all the patients.Results: The most common cause of trauma was road or vehicular accidents (58.9%) followed by fall from heights (32.1%). Of the organs which were affected, the most one was liver (73.2%), followed by spleen (51.8%), 46.4% of kidneys and 12.5% of the pancreas. Hemoperitoneum was identified in all the 56 patients with CT scan while the same was identified only in 47 cases (83.9%) with USG.Conclusions: CT scan is a superior diagnostic tool for the detection of Blunt abdominal trauma compared to USG. However, the patient needs to be hemodynamically stable for CT to be performed.

scholarly journals Diagnostic Accuracy of CT Scans in Blunt Abdomical Trauma

2021 ◽  
Vol 15 (10) ◽  
pp. 3503-3505
Author(s):  
Azmat Ali ◽  
Nadia Khattak ◽  
Adnan Ahmed ◽  
Jawad Ali Memon ◽  
Maimoona Afsar ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Diagnostic Accuracy ◽  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Clinical Manifestations ◽  
Retroperitoneal Hematoma ◽  
Ct Scans ◽  
Internal Bleeding ◽  
Wide Range

Background and Aim: Blunt abdominal trauma may lead to a serious situation that necessitates prompt diagnosis and treatment. The intra-abdominal injury effective diagnosis is difficult in patient’s management in such cases. The present study aims to evaluate the diagnostic accuracy of computed tomography scans in active internal bleeding following abdominal trauma. Materials and Methods: This cross-sectional study was carried out on 84 blunt abdominal trauma patients in the Department of Radiology Hayatabad Medical Complex, Peshawar for duration of six months from January 2021 to June 2021. All the patients with no clinical manifestations underwent diagnostic CT scans. Those who had a positive CT scan underwent laparotomy. The remaining patients were monitored for 24 hours and were discharged in case of no serious issues. Demographic details, patient information, trauma mechanism, CT scan indications, and findings, and laparotomy results were recorded. Regarding injured organs, specificity, sensitivity, and diagnostic accuracy of CT scans were determined. For individual cases, CT scans specificity, sensitivity, and accuracy were calculated. SPSS version 20 was used for data analysis. Results: This study included 84 patients, out of which 73 (86.9%) were male and 11(13.1%) were female. Patients aged 20-40 years were more prevalent 47 (56%), followed by those aged over 40 years were 20 (23.8%) and 10 to 19 years old were 17 (20.2%). Liver and spleen injuries had the highest CT scan sensitivity of 87.5% and 96.7% respectively. On the other hand, The CT scan's specificity was high in the injured kidneys (94%) and retroperitoneal hematoma 97.3% compared to other organ’s injuries. The diagnostic accuracy of CT scans in the identification of liver, kidney injuries, spleen, and retroperitoneal hematoma injuries was 93.7%, 92.3%, 96.2%, and 92.3% respectively. Conclusion: Our study found that CT scans are capable of detecting a wide range of injuries. CT scans are exceptionally valuable for assessing blunt abdominal injuries with active internal bleeding patients Furthermore, CT investigation is quick and extensively accessible. CT can produce high-resolution images with MPR and scanning protocol. Keywords: Diagnostic Accuracy; Abdominal Trauma Injuries, Computed Tomography (CT)

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