ANGIOGRAPHY has been used only recently in the investigation of blunt abdominal trauma. May 20, 1968. plete examination usually requires 30-45 minutes.Angiograms have been performed in 29 patients with abdominal trauma. Damage to the spleen was suspected clinically in 18 patients, to the liver in seven, and to the kidney in seven. In two patients, both splenic and renal damage were suspected, and in one patient, both splenic and hepatic damage were suspected. In addition to the angiograms, clinical histories of these patients and the plain roentgenograms have been evaluated to determine their relative diagnostic value.
ResultsOf the 29 patients, 12 had normal angiograms. These patients were all treated conservatively and their subsequent course confirmed the angiographic impression. Thus, no known false negative results were obtained.Angiograms which were positive for trauma included eight splenic, six renal, and three liver injuries in 17 patients. Sixteen were operated upon following angiography. One patient with renal damage was treated conservatively. The operative findings confirmed the angiographic diagnosis in all but one patient, who had suspected damage. The diagnosis of visceral injury was thus correct in 28 of 29 patients. The results are summarized in Tables 1 and 2.