Abstract

This study was conducted to evaluate the role of solid organ and hollow viscous injury in blunt abdominal trauma patients using multi-detector computerized tomography, accurately diagnose the type of injury at the earliest and help the clinician in management, study the grades or severity of solid organ injuries, and correlate CT findings in trauma patients with management strategies followed either operatively or conservatively. Methods: This was a hospital-based prospective study conducted among 69 patients who underwent CT evaluation in the Department of Radio Diagnosis, S.C.B. Medical College, Cuttack, over a period of two years from November 2020 to October 2022, after obtaining clearance from the institutional ethics committee and written informed consent from the study participants. Results: Hemoperitoneum (85.5%) was the most common finding in blunt abdominal trauma. Pain in the abdomen was the most common clinical symptom, followed by guarding and rigidity. Among solid organ injuries, the spleen was the most frequently injured organ. Among splenic injuries, intraparenchymal hematoma was the most common type of splenic injury, followed by subcapsular hematoma. Among hepatic injuries, liver laceration was the commonest lesion. The right lobe of the liver involves 70% of cases. Renal injury is noted in 17.39% of cases of BAT; subcapsular hematoma and contusion contribute 25 each, and renal laceration occurs in 50% of cases. 7.49% of patients had pancreatic injuries, of which 40% were pancreatic contusions and 60% were pancreatic lacerations. The most common associated injury was fractures, followed by head and chest injuries, which were found more often with blunt trauma. Conclusion: The sensitivity of a CT scan in determining the type of lesion is 100%. MDCT imaging gives accurate diagnostic pathology of the various intraabdominal organ injuries in BAT, thereby helping the clinicians undertake conservative or surgical management

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