To revise the most appropriate imaging protocol in the emergency setting.
To describe the image findings in non-penetrating abdominal trauma,
identifying the injured organs and vascular lesions and recognizing shock signs.
To review the scoring methods available for these lesions and their treatment implications.
Blunt abdominal trauma is a significant cause of morbidity and mortality nowadays. Radiologists must know the adequate imaging techniques to assess these patients in the emergency setting and the importance of systematic evaluation of the abdominal structures.
It is also essential to learn the available grading systems for solid organ injuries to help clinicians and surgeons make a therapeutic decision.
Findings and procedure details
Trauma represents one of the leading causes of death in all age groups.
The most common mechanism of injury is motor vehicle collision.
Some polytrauma patients may require inmediate intervention when a potentially lethal but treatable injury is detected.
If inmediate intervention is not needed,
they undergo further diagnostic testing.
diagnosis of abdominal injuries relies almost completely on CT findings.
Radiologists must optimize the CT technique in order to maximize the...
Imaging plays a critical role in the evaluation of non-penetrating abdominal trauma.
It is necessary to know the proper imaging protocol to assess abdominal injuries in these patients,
how to make a systematic evaluation of the imaging findings and how to grade these findings in order to help guide therapeutic decision making.
Soto and Anderson.
Multidetector CT of Blunt Abdominal Trauma.
Ames and Federle.
CT Hypotension Complex (Shock Bowel) Is Not Always Due to Traumatic Hypovolemic Shock.
AJR 2009; 192:W230-W235.
Marmery et al.
Optimization of selection or nonoperative management of blunt splenic injury: comparison of MDCT grading systems.
AJR 2007;189(6): 1421–1427.
Saksobhavivat et al.
Blunt Splenic Injury: Use of a Multidetector CT-based Splenic Injury Grading...