الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The major cause of illness and death in people of all ages is blunt abdominal trauma. One of the most difficult situations where prompt and correct investigations are necessary for effective care is blunt abdominal trauma.
MDCT offers the best anatomical and physiological data that can distinguish between minor injuries and those that need treatment. MDCT data regularly boosts surgeons’ confidence in their ability to diagnose, has an impact on clinical care choices, and significantly lowers the rate of needless exploratory laparotomies.
Herein, we aimed to assess the MDCT role in the different intra-abdominal blunt trauma detection and characterization in adults.
This study was carried out on 30 adult patients (18 - 65 years old) with blunt abdominal trauma based on clinical findings referred to the Radiodiagnosis and Intervention Department for MDCT evaluation.
The patients’ ages ranged between (18-57) years with mean± SD (28.0 ± 11.4) years. 80.1% of patients were males while 19.9% of patients were females.
Motor vehicle collision (63.3%), fall from a height (30.1%), assault (3.3%), and sports accidents (3.3%) were the most common types of traumas.
The most frequent clinical manifestations were hematuria (9.9%), nausea and vomiting (9.9%), abdomen and flank ecchymosis (36.7%), and abdominal pain (60%) respectively.
The most common findings of MDCT were free intraperitoneal fluid collection in (83.3%), splenic lacerations and contusions in (46.7%), sentinel clot signs in (36.7%), liver lacerations and contusions in (36.7%), renal lacerations and contusions in (26.7%), retroperitoneal fluid collection in (26.7%), pelvic fractures in (23.3%), and extraperitoneal fluid collection in 20%.
According to the splenic trauma grades, grade (II) was detected in 35.7%, grade (III) was detected in 35.7%, grade (IV) was detected in 21.4%, and grade (V) was detected in 7.1%. The non-operative management failure was 100% in Grade (IV) and Grade (V) while was 20% in Grade (II) splenic injury CT grades. The splenic injury complications detected were hemoperitoneum in 92.8% and active extravasation in 14.2%.
According to the liver trauma grades, grade (I) was detected in 18.2%, grade (II) was detected in 9.1%, grade (III) was detected in 63.6%, and grade (V) was detected in 9.1%. The non-operative management failure was 100% in Grade (II) and Grade (V) and 28.6% in Grade (III) liver injury CT grades. The liver injury complications detected were liver abscess in (9%), active extravasation in (9%), and hemoperitoneum in (100%).
According to the renal trauma grades, grade (III) was detected in 62.5%, grade (IV) was detected in 25%, and grade (V) was detected in 12.5%. The non-operative management failure was 100% in Grade (IV) and Grade (V) renal injury CT grades. The renal injury complications detected were hemoperitoneum in (75%) and retroperitoneum hematoma in (50%).
Bowel trauma injury was noted in only one case. It was detected in the recto-sigmoid junction. Bowel wall discontinuity, a substantial quantity of free fluid accumulation between bowel loops, a distinct pneumoperitoneum, and positive contrast extravasation following a contrast enema were the bowel trauma findings.