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THE ROLE OF CT SCAN IN PENETRATING ABDOMINAL TRAUMA.
BACKGROUND: Penetrating abdominal trauma contributes significantly to the burden of disease in South Africa. The role of imaging, particularly CT scan in this subset of patients has yet to be established. A correlation between imaging and intraoperative findings could assist with providing a framework for nonoperative management of patients with penetrating abdominal trauma. The role of imaging in blunt abdominal trauma has been established particularly in the patient who is haemodynamically stable. Historically, penetrating trauma to the abdomen has been managed with surgical intervention that achieved the dual purpose of providing a diagnostic as well as therapeutic value.
METHOD: A retrospective review of all haemodynamically stable patients who sustained penetrating abdominal trauma and were admitted to a tertiary institution, Dr George Mukhari Academic Hospital situated in Pretoria, South Africa. The time period under review was between June 2015 and December 2016. The source of data was a combination of the database, original patient records and records from radiology. The parameters that were reviewed included CT scan findings and intraoperative findings.
RESULTS: A total of 131 patients were enrolled for this study. 74% of patients were found to have a negative CT scan as well as negative intraoperative findings. A total of 25% had positive intraoperative findings despite having a negative CT Scan.
CONCLUSION: CT Scan correlates poorly with intraoperative findings.
METHOD: A retrospective review of all haemodynamically stable patients who sustained penetrating abdominal trauma and were admitted to a tertiary institution, Dr George Mukhari Academic Hospital situated in Pretoria, South Africa. The time period under review was between June 2015 and December 2016. The source of data was a combination of the database, original patient records and records from radiology. The parameters that were reviewed included CT scan findings and intraoperative findings.
RESULTS: A total of 131 patients were enrolled for this study. 74% of patients were found to have a negative CT scan as well as negative intraoperative findings. A total of 25% had positive intraoperative findings despite having a negative CT Scan.
CONCLUSION: CT Scan correlates poorly with intraoperative findings.
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