A Study of Correlation of Preoperative Radiological Diagnosis With Operative Findings in Blunt Injury Abdomen

Abstract

Introduction: Trauma has been called the neglected disease of modern society, despite its close companionship with man1. Abdominal trauma caused by blunt force is a common presentation in the emergency room seen in adults and children. They are usually an outcome of road trafc accidents, fall from heights or fall on any blunt objects or due to assaults2. They are associated with a high morbidity and mortality which can be avoided with early diagnosis and management. To study the correlation Objective: of preoperative diagnosis made by radiological evaluation with the intraoperative ndings in cases of blunt abdominal trauma. Materials and methods: The present study was conducted on 60 clinically suspected patients of blunt abdominal trauma presenting to the Emergency Department, King George Hospital, Visakhapatnam. The study was conducted after prior approval by the Institutional Ethics Committee and informed and written consent from the patient. 60 patients with clinical suspicion of blunt abdominal trauma were selected. After thorough clinical examination, the patients were subjected to X-ray chest and abdomen, Ultrasonography (USG) and Computed Tomography (CT) imaging. After arriving at a pre-operative diagnosis, these patients were followed up and correlation of this diagnosis was done with the intraoperative ndings and the results were evaluated. The data entry was done using M.S.Excel and statistical analysis was done using Statistical package for social sciences (SPSS version 16) for M.S.Windows. Fischers exact test was used. p-value less than 0.05 was considered to be statistically signicant. It was observed that preoperative diagnosis ma Results: de with CT had a higher degree of correlation with the intraoperative ndings when compared to Ultrasonography. It can be concluded that CT i Conclusion: s a better tool for preoperative evaluation when compared to USG in cases of blunt abdominal trauma