PMID: 9555829Apr 29, 1998Paper

Does free fluid on abdominal computed tomographic scan after blunt trauma require laparotomy?

The Journal of Trauma
M A CunninghamJ W Davis

Abstract

Abdominal computed tomographic (CT) scans are used in the evaluation of blunt trauma. The purpose of this study was to determine if isolated intraperitoneal fluid seen on CT scan necessitates laparotomy. Trauma registry records of patients who underwent abdominal computed tomography from January 1994 through January 1997 were studied. Data were reviewed for age, gender, CT scan interpretation, associated injuries, and operative findings. Abdominal injury was identified in 126 patients. Seventy-eight patients had evidence of solid-organ injury and 17 patients had extraperitoneal injury. Isolated intraperitoneal fluid was identified in 31 patients. All patients with isolated fluid underwent laparotomy; 29 of these procedures (94%) were therapeutic. Bowel injuries occurred in 18 patients and mesenteric injuries in 8 patients. Five patients had intraperitoneal bladder rupture, and undetected solid-organ injuries were found in two patients. Other organs injured included the stomach, pancreas, ovary, and uterus. Exploratory laparotomy was therapeutic in 94% of patients. Isolated intraperitoneal fluid on CT scan after blunt trauma mandates laparotomy.

References

Jul 1, 1992·Seminars in Roentgenology·S E Mirvis, K Shanmuganathan
Jan 1, 1990·The Journal of Trauma·J P Sherck, D D Oakes
Jan 1, 1987·The Journal of Trauma·J H DonohueD D Trunkey
Jul 1, 1986·The Journal of Trauma·D Trunkey, M P Federle
Oct 1, 1985·The Journal of Trauma·A S GoldsteinG W Shaftan
Mar 1, 1981·Radiology·M P FederleJ C Mall
May 1, 1982·Archives of Surgery·M P FederleD D Trunkey
Dec 1, 1994·American Journal of Surgery·J SherckV Selivanov

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Citations

Jan 12, 2010·Abdominal Imaging·Jinxing YuRobert A Halvorsen
Mar 9, 2011·Langenbeck's Archives of Surgery·Michael FrinkFrank Hildebrand
Feb 13, 2001·Resuscitation·P A OakleyP J Morrison
Oct 5, 2001·The Journal of Trauma·A F MoreyS B Brandes
Jan 28, 2005·The Journal of Trauma·Zsolt T Stockinger, Norman McSwain
May 11, 2000·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J F HolmesN Kuppermann
May 25, 2013·AJR. American Journal of Roentgenology·Takeharu YoshikawaKuni Ohtomo
Mar 27, 2001·AJR. American Journal of Roentgenology·J J HewettM A Kliewer
Aug 16, 2014·Journal of the American College of Surgeons·Laura N Gonser-HafertepenKrista L Kaups
Nov 24, 2012·Radiology·Jorge A Soto, Stephan W Anderson
Dec 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Nathaniel E UeckerTammy R Kopelman
Aug 27, 2004·Critical Reviews in Computed Tomography·Jill E Jacobs, Alec J Megibow
Dec 30, 2014·The Journal of Trauma and Acute Care Surgery·Michelle K McNuttJohn B Holcomb
Nov 22, 2011·Radiologic Clinics of North America·Christina A LeBedisJorge A Soto
Jan 9, 2001·The Australian and New Zealand Journal of Surgery·J HamillA Kolbe
Jan 3, 2001·AJR. American Journal of Roentgenology·S T ButelaL F Huang
Apr 15, 2008·Surgical Innovation·Gordie K KabanDemetrius E M Litwin
Apr 28, 2005·Journal of Clinical Ultrasound : JCU·Jeannette BakkerLoek Leenen
Dec 12, 2007·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Sang Soo ShinHee Young Shin
Mar 20, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Eric DurrantMichael Ezra O'Keeffe

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