SUMMARY OF ABDOMINAL TRAUMA IMAGING ABDOMINAL TRAUMA Radiological

SUMMARY OF ABDOMINAL TRAUMA IMAGING ABDOMINAL TRAUMA *Radiological ex. is done for Hemodynamic stable Patient **C. T** -Pre & Post Contrast -Pre: - Not miss Contusion -Enhanced: - Ora. L"water soluble" - I. V: . I * It Differentiate: - enh parenchyma & - non enh Laceration * Urine extra. Vas. * Site of Active bleed Hematocrit Effect Lower hyperdense Fluid level in dependent part in hemoperiton, =Hemorrhage in Solid organs: -Pre Cont Hyperense. -Post Cont. Hypodense as it not enhancing as normal parenchyma. **Splenic injury** MOST COMMON INJURIED ORGAN IN ABD. BLUNT TRAUMA. *Grades (ROLE OF 3) ILacer/Hematom<1 cm II- " " " <3 cm III- " " " ' >3 cm Iv-Fragment>3 Pices *Fate: GI: II Heal in 4 Mon GIII Heal in 6 Mon GIV Surgical Remove NB. Subcapsular Hematoma act as Tamponade in Spleenic injury *Hepatic Injury* It May be: -Hematoma Sub. Capsular or Parenchymal -Contusion/Lacerate -Vascular Damage -Biliary Injury *Grading: As Spleen or -Mild < 25%of one Lobe -Modr 25: 50 % " " " -sever >50% *Fate: Mild heal 3 M Modr. 80% heal 6 M Sever 20% heal 9: 15 M **RENAL Injury** Severity poorly correlate to presence or extent of Hematoma. C. T. Diagnose: to assess -Solid Pernchymal injury extent -Extra-vasated Urine -Hematoma Peri-Renal -State Of Vasc. Pedicle -Adjascent organ Injury *Grading: I. Laceration <1 cm II. Laceration >1 cm III Laceration reach collecting system or Lacer. + Large expanding Hematoma IV. Pedicle Avu. Lsion V. Shuttered kidney *Collecting system injury Contrast Leak in delayed Films. *Pedicle Avulsion Non enhancing Kidney *GIII 95% occur e Biobsy, To Avoid: -Use Thinnest Needle. -Avoid: Upper Pole avoid Lung injury Pedicle avoid Blood Vessel =Rupture Bladder Fill Abd. e conrast rapidly.

SUMMARY OF ABDOMINAL TRAUMA IMAGING *PANCREATIC Injur* -Rare To Injured. -Mostly Pediatric -It May Cause: Acute Pancreatitis Psudo Panc, Cyst Lacer Black Lines (Fractures Of Pancreas) Hematoma. *BOWEL Injury* =CT Signs: - Pnemo. Peritonium - Collection - Cont Extravasation - wall thicken>4 mm - Bowel wall enhance - Mesentric Hematoma