OBJECTIVE To clarify the usefulness of ultrasonography (US) as a diagnostic instrument for intraperitoneal free air (IPFA), which is thought to be useful in the fields of emergency medicine and traumatology. DESIGN Prospective observational study. SETTING Tertiary critical care and emergency center. PATIENTS A total of 484 patients with severe chest-abdominal-pelvic blunt trauma or, in th...

Computed tomography (CT) is currently the diagnostic modality of choice in the evaluation of clinically stable patients with blunt abdominal trauma, including the assessment of blunt bowel and mesenteric injuries. CT signs of bowel and/or mesenteric injuries are bowel wall defect, free air, oral contrast material extravasation, extravasation of contrast material from mesenteric vessels, mesente...

conclusions it seems that fast examination for intra-abdominal fluid in blunt trauma patients can predict intra-abdominal injuries with very high sensitivity and specificity. using the scoring system can more accurately determine the probability of the presence of abdominal injuries with a cut-off point of three. results the mean age of the patients was 29.6 ± 18.3 years and fast was positive i...

Computed tomography (CT) is widely used in assessing clinically stable patients with blunt abdominal trauma. In these patients, liver is one of the commonest organs being injured and CT can accurately identify and assess the extent of the injury. The CT features of blunt liver trauma include laceration, subcapsular or parenchymal haematomas, active haemorrhage and vascular injuries. Widespread ...

objectives:  to identify the predictive factors of successful non-operative management of patients with intraperitoneal bleeding following blunt abdominal trauma. methods:  this was cross-sectional study being performed in our level i trauma center in southern iran between 2010 and 2011. we included adult (>14 years) patients with blunt abdominal trauma and intraperitoneal hemorrhage detected b...

INTRODUCTION In cases of blunt abdominal traumas, predicting the possible intra-abdominal injuries is still a challenge for the physicians involved with these patients. Therefore, this study was designed, to evaluate the accuracy of urinalysis in predicting intra-abdominal injuries. METHODS Patients aged 15 to 65 years with blunt abdominal trauma who were admitted to emergency departments wer...

Complete ureteropelvic junction (UPJ) disruption is a rare finding after blunt abdominal trauma. High clinical suspicion and close attention to imaging studies are needed to avoidmissing a UPJ disruption during initial evaluation. In high grade renal trauma, the best imaging modality to detect collecting system injury and urinary extravasation is computed tomography (CT) scanwith delayed excret...