scholarly journals Role of Computed Tomography in Blunt Abdominal Trauma

2022 ◽  
Vol 19 (1) ◽  
pp. 55-58
Author(s):  
Digbijay Bikram Khadka ◽  
Anup Sharma ◽  
Ashish Bhatta ◽  
Prabir Maharjan ◽  
Sandesh Sharma
Keyword(s):  
Computed Tomography ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Computed Tomography Scan ◽  
Female Ratio ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Time Of Presentation ◽  
Contrast Enhanced Computed Tomography ◽  
Tomography Scan

Introduction: Blunt abdominal trauma is one of the commonly encountered surgical emergencies. The diagnostic modality that helps in optimum management of these patients includes chest and abdominal x-rays, Focused Assessment Sonography for Trauma scan and Computed Tomography. In selected hemodynamically stable patients who are candidates for non-operative management, Contrast Enhanced Computed Tomography is not considered essential and hence avoiding its own radiation hazards and decreasing extra financial burden to the patients. Aims: To evaluate whether Contrast Enhanced Computed Tomography is necessary or not in case of blunt trauma abdomen. Methods: This is a hospital based prospective study done in the department of surgery at Nepalgunj Medical College, Kohalpur conducted from October 2020 to March 2021. The patients with blunt abdominal trauma who were hemodynamically stable at the time of presentation and those who became stable after resuscitation were included. These patient’s detailed history was taken, clinical examination done. Focused Assessment Sonography for Trauma scan was done at the time of presentation along with chest x-ray and other necessary blood investigation. Data were analyzed with Statistical Package for Social Sciences version 25 and p-value <0.05 was taken as significant. Results: Out of total 53 patients, age group between 11-20 and 21-30 years comprising of 13 patients with male: female ratio of 1.94:1 were affected more. Fall injury, being the most common mode, comprised 20 patients. The commonest organ involved was spleen seen in 17 patients (32.1%), liver in 16 patients (30.2%). In 44 (83.0%) patients, Computed Tomography scan was done only in nine patients who were also managed conservatively, except one who underwent laparoscopic evacuation of collected blood. Seventeen (32.1%) patients underwent repeat ultrasonography without any new findings. Conclusion: Patients with blunt abdominal trauma with stable hemodynamics can be managed conservatively with limited use of Contrast Enhanced Computed Tomography scan.

scholarly journals Point-of-care creatinine testing in patients receiving contrast-enhanced computed tomography scan

2018 ◽  
Vol 478 ◽  
pp. 111-113 ◽  
Author(s):  
Anne-Sophie Bargnoux ◽  
Olivier Beaufils ◽  
Maryse Oguike ◽  
Aurélie Lopasso ◽  
Anne-Marie Dupuy ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Point Of Care ◽  
Computed Tomography Scan ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Tomography Scan

scholarly journals Polyneuropathy, organomegaly, endocrinopathy, monoclonal band, and skin (POEMS) changes syndrome presenting with a pseudosensory level: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Shiran Paranavitane ◽  
Lallindra Gooneratne ◽  
Thashi Chang
Keyword(s):  
Computed Tomography ◽  
Lower Limbs ◽  
Sensory Level ◽  
Computed Tomography Scan ◽  
Skin Changes ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Abdominal Lymphadenopathy ◽  
Tomography Scan

Abstract Introduction Polyneuropathy is a key feature of polyneuropathy, organomegaly, endocrinopathy, monoclonal band, and skin changes syndrome, which is a paraneoplastic manifestation of an underlying lymphoproliferative neoplasm. We report the first case of polyneuropathy, organomegaly, endocrinopathy, monoclonal band, and skin changes syndrome presenting with a pseudosensory level. Case presentation A 59-year-old Tamil woman with long-standing diabetes mellitus and hypertension developed painless, progressive inguinal lymphadenopathy. A contrast-enhanced computed tomography scan showed mild hepatomegaly and intra-abdominal lymphadenopathy. A histological examination of an enlarged inguinal lymph node showed features of a plasma cell-type Castleman disease. She was treated with rituximab. Six months later, she developed gradually ascending numbness and weakness of both lower limbs. On examination, she had flaccid paraparesis (power 3/5) with a sensory level to pinprick at thoracic level 9. Joint position sense was preserved. Her cranial nerves and upper limbs were neurologically normal. Nerve conduction studies confirmed peripheral neuropathy with conduction slowing and a magnetic resonance imaging of her spine did not show cord or root compression. Serum protein electrophoresis showed a monoclonal band. A bone marrow biopsy showed a hypercellular marrow with 30% plasma cells. A repeat contrast-enhanced computed tomography scan showed sclerotic bony lesions involving multiple vertebrae in addition to mild hepatomegaly and intra-abdominal lymphadenopathy. Polyneuropathy, organomegaly, endocrinopathy, monoclonal band, and skin changes syndrome was diagnosed and she was treated with intravenously administered pulse therapy of dexamethasone and cyclophosphamide. After three cycles of treatment, she regained normal muscle power and sensation. Conclusions Polyneuropathy in polyneuropathy, organomegaly, endocrinopathy, monoclonal band, and skin changes syndrome can present as a pseudosensory level.

scholarly journals A giant tonsillolith camouflaging as a peritonsillar abscess

2020 ◽  
Vol 6 (6) ◽  
pp. 1224
Author(s):  
Vikas Vijayan ◽  
Susan K. Sebastian ◽  
Abhijeet Raj ◽  
Priyanka S. Amar
Keyword(s):  
Computed Tomography ◽  
Peritonsillar Abscess ◽  
Rare Clinical Entity ◽  
Computed Tomography Scan ◽  
Provisional Diagnosis ◽  
Contrast Enhanced ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Tomography Scan

<p>Giant tonsillolith is a rare clinical entity. We present the case of a 7 years old male who presented with sore throat and difficulty in swallowing. Right tonsil was bulging into the oropharynx with marked peritonsillar swelling and inflammation and a provisional diagnosis of peritonsillar abscess was made. Contrast enhanced computed tomography scan revealed a large-sized tonsillolith on the right side. The patient underwent elective stone removal and tonsillectomy.</p>

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