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Abstract

endured blunt abdominal trauma is a bowel or mesentery injury. Morbidity and death rates rise as a result of delayed diagnosis.
Objective: The goal of our study is “comparison of contrast enhanced computed tomography and fast scan in evaluation of bowel and mesenteric injury in case of blunt abdominal trauma.” Materials and methods: We included all the patients who underwent FAST SCAN and contrast-enhanced CT of the abdomen and pelvis with MDCT findings of blunt bowel and/or mesenteric injury (BBMI). The data was obtained from radiology department of Services Hospital, Lahore. After informed consent data was acquired from the MDCT and FAST imaging.
Results: a total of 140 patients of blunt abdominal trauma were subjected to MDCT and FAST SCAN out of which 74(52.8%) were negative for FAST and 66(47.1%) were positive for FAST scan 60(42.8%) were true positive and 6(4.2%) were false positive. Out of 74 negative patients 70 were true negative although FAST proved good for initial assessment of trauma but missed solid organ injury which later on ruled out on MDCT.
Conclusions: The present study concluded that MDCT is the superior diagnostic modality in the diagnosis of blunt abdominal trauma. USG can be a valuable initial investigation; however, USG can miss crucial injuries and may lead to inappropriate management in some patients.
Hence it is imperative that all USG positive cases should be followed by MDCT. Similarly, MDCT must also be performed in symptomatic patients with negative USG scans and in patients with suboptimal USG scans.