Prospective study investigating routine usage of ultrasonography as the initial diagnostic modality for the evaluation of children sustaining blunt abdominal trauma

被引:61
作者
Akgur, FM [1 ]
Aktug, T [1 ]
Olguner, M [1 ]
Kovanlikaya, A [1 ]
Hakguder, G [1 ]
机构
[1] DOKUZ EYLUL UNIV,FAC MED,DEPT RADIOL,IZMIR,TURKEY
关键词
trauma; blunt abdominal trauma; ultrasonography; computed tomography;
D O I
10.1097/00005373-199704000-00007
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
In this prospective study, 217 children sustaining blunt abdominal trauma were initially evaluated with ultrasonography (US) and those with any abnormal ultrasonographic findings were further evaluated with computed tomography. Results of ultrasonographic examination were normal in 157 children and showed abnormalities such as free intraperitoneal fluid (FIF), intra-abdominal organ injury, and intrapleural fluid in 60 children, Computed tomographic examination of the 42 children with organ injury, the seven children with minimal FIF of no definite source, and the three children with intrapleural fluid revealed findings consistent with ultrasonographic findings, Computed tomographic examination of the eight children with more than minimal FIF of no definite source detected by US showed the source as liver injury in one and spleen injuries in two patients. The source of FIF could not be identified with computed tomography in five patients, After clinic fellow-up examination, one of these five patients was operated on for abdominal tenderness, fever, and. air-fluid levels detected on plain abdominal radiographs, and duodenal perforation was encountered, Clinical courses of the patients with normal ultrasonographic findings mere uneventful, We conclude that US, aside from being a screening tool, is alone sufficient in the evaluation of the majority of the children sustaining blunt abdominal trauma, Although this is a preliminary study with further work needed to be done, we propose that further evaluation with computed tomography should be performed on those children in whom more than minimal FIF of no definite source is detected with US.
引用
收藏
页码:626 / 628
页数:3
相关论文
共 25 条
[1]   THE PLACE OF ULTRASONOGRAPHIC EXAMINATION IN THE INITIAL EVALUATION OF CHILDREN SUSTAINING BLUNT ABDOMINAL-TRAUMA [J].
AKGUR, FM ;
TANYEL, FC ;
AKHAN, O ;
BUYUKPAMUKCU, N ;
HICSONMEZ, A .
JOURNAL OF PEDIATRIC SURGERY, 1993, 28 (01) :78-81
[2]   INITIAL EVALUATION OF CHILDREN SUSTAINING BLUNT ABDOMINAL-TRAUMA - ULTRASONOGRAPHY VS DIAGNOSTIC PERITONEAL-LAVAGE [J].
AKGUR, FM ;
AKTUG, T ;
KOVANLIKAYA, A ;
ERDAG, G ;
OLGUNER, M ;
HOSGOR, M ;
OBUZ, O .
EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 1993, 3 (05) :278-280
[3]   ABDOMINAL ULTRASOUND AS A RELIABLE INDICATOR FOR CONCLUSIVE LAPAROTOMY IN BLUNT ABDOMINAL-TRAUMA [J].
BODE, PJ ;
NIEZEN, RA ;
VANVUGT, AB ;
SCHIPPER, J .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1993, 34 (01) :27-31
[4]   A PROSPECTIVE-STUDY OF EMERGENT ABDOMINAL SONOGRAPHY AFTER BLUNT TRAUMA [J].
BOULANGER, BR ;
BRENNEMAN, FD ;
MCLELLAN, BA ;
RIZOLI, SB ;
CULHANE, J ;
HAMILTON, P .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1995, 39 (02) :325-330
[5]   INVESTIGATION OF CHILDHOOD BLUNT ABDOMINAL-TRAUMA - A PRACTICAL APPROACH USING ULTRASOUND AS THE INITIAL DIAGNOSTIC MODALITY [J].
FILIATRAULT, D ;
LONGPRE, D ;
PATRIQUIN, H ;
PERREAULT, G ;
GRIGNON, A ;
PRONOVOST, J ;
BOISVERT, J .
PEDIATRIC RADIOLOGY, 1987, 17 (05) :373-379
[6]  
FORSTER R, 1992, J TRAUMA, V34, P264
[7]   THE ROLE OF ULTRASONOGRAPHY IN BLUNT ABDOMINAL-TRAUMA - RESULTS IN 250 CONSECUTIVE CASES [J].
GOLETTI, O ;
GHISELLI, G ;
LIPPOLIS, PV ;
CHIARUGI, M ;
BRACCINI, G ;
MACALUSO, C ;
CAVINA, E .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 36 (02) :178-181
[8]   BLUNT ABDOMINAL-TRAUMA IN CASES OF MULTIPLE TRAUMA EVALUATED BY ULTRASONOGRAPHY - A PROSPECTIVE ANALYSIS OF 291 PATIENTS [J].
HOFFMANN, R ;
NERLICH, M ;
MUGGIASULLAM, M ;
POHLEMANN, T ;
WIPPERMANN, B ;
REGEL, G ;
TSCHERNE, H .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1992, 32 (04) :452-458
[9]   ULTRASONOGRAPHY FOR THE EVALUATION OF HEMOPERITONEUM DURING RESUSCITATION - A SIMPLE SCORING SYSTEM [J].
HUANG, MS ;
LIU, M ;
WU, JK ;
SHIH, HC ;
KO, TJ ;
LEE, CH .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 36 (02) :173-177
[10]   EMERGENCY CENTER ULTRASONOGRAPHY IN THE EVALUATION OF HEMOPERITONEUM - A PROSPECTIVE-STUDY [J].
KIMURA, A ;
OTSUKA, T .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1991, 31 (01) :20-23