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The role of multislice computed tomography (MSCT) in the detection of blunt traumatic intra abdominal injury: our experience in Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang.

Radhiana, Hassan and Azian, Abd Aziz and Mubarak, Mohd Yusof and Saot, Azlin and Mohd Amran, Abdul Rashid and Ab Rahman, Jamalludin (2012) The role of multislice computed tomography (MSCT) in the detection of blunt traumatic intra abdominal injury: our experience in Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang. The Medical journal of Malaysia, 67 (3). pp. 316-322. ISSN 0300-5283

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Abstract

Multislice computed tomography (MSCT) is the imaging modality of choice in assessing clinically stable patients with blunt abdominal trauma. This study assessed the role of MSCT in the detection of intra abdominal injury caused by blunt trauma in our centre within a two-year-period (2008-2009). A total of 151 patients had MSCT abdomen for blunt abdominal trauma within this study period. Positive scan were seen in 126 patients (83.4%). Out of these positive scans, liver, spleen and renal injuries were seen in 42.1% (n = 53), 34.9% (n = 44) and 30.0% (n = 34) of cases respectively. Laparotomies were performed in 45 patients. Out of these 45 laparotomies, 10 patients had surgically significant injuries that were missed on CT scan findings. The injuries were bowel perforation (n = 4), serosal tear of bowel (n = 1), mesenteric injuries with active haemorrhage (n=3), spleen injury (n = 1) and liver injury (n = 1).

Item Type: Article (Journal)
Additional Information: 3297/49773
Uncontrolled Keywords: Computed Tomography, Blunt Abdominal Trauma, Injuries
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes: Kulliyyah of Medicine > Department of Community Medicine (Effective: 1st January 2011)
Depositing User: Dr Jamalludin Ab Rahman
Date Deposited: 05 Apr 2016 15:28
Last Modified: 05 Apr 2016 15:28
URI: http://irep.iium.edu.my/id/eprint/49773

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