Value of Ultrasonography in Patients with Blunt Abdominal Trauma Versus Computed Tomography

  • V Tolevska, Univercity Surgical Clinic "St.Naum Ohridski", Macedonia
  • A Gligorievski, University Clinic for Radiology, Mediacal Faculty, Macedonia
  • N Kirjas, University Clinic for Radiology, Mediacal Faculty, Macedonia
  • V Vasilevska, University Surgical Clinic "St. Naum Ohridski", Macedonia
  • J Cabukovska, Univercity Surgical Clinic "St.Naum Ohridski", Macedonia
  • E Damjanska, Univercity Surgical Clinic "St.Naum Ohridski", Macedonia
  • E Georgieva, Univercity Surgical Clinic "St.Naum Ohridski", Macedonia
  • T Slezenkovski, Univercity Surgical Clinic "St.Naum Ohridski", Macedonia
  • D Andonovska, Univercity Surgical Clinic "St.Naum Ohridski", Macedonia

    • Purpose: Prospectively to compare the sensitivity and specificity of ultrasonography(US) in the depiction of solid organ injuries in patients with blunt abdominal trauma(BAT), correlated with computed tomography(CT).
    Materials and Methods: Within a period of three years, 60 patients with blunt abdominal trauma were evaluated. Male were 39 and female 21 patient, with mean age 22.7 years(range from 2 to 81 years). US were performed in all patients, CT in hemodynamical stabile patients(48pts. 80%). According M.S.Huang method, the free fluid was evaluated. Organ injury score was done according AAST and Moore.
    Results: Out of 60 patients solid organ injuries had 59 patients(98%). In hemodinamicaly stabile patients, injury on the spleen had 20 cases, on liver 16, kidney 8 and pancreas in 3 cases. One case had only free fluid. Hemodinamicaly unstabile were 12 patients, were operated on after US examination.
    US depicted parenchymal organ injury in 51 of the 59 pts(85%), but CT in all patients. According M.S.Huang method free fluid =500ml had 22 cases, 250-500ml had 18 cases and rest of the cases had =250ml.
    There was no statistical significant difference between US and CT in detecting of free fluid(p = 0,2409). But there was a statistically significant difference between US and CT in detecting of solid organ injury(p = 0,0119).