A Comparative Study of Ultrasonography and Contrast Enhanced Computed Tomography in Acute Abdominal Trauma

Introduction: Ultrasonography for blunt abdominal trauma is the primary screening examination for blunt abdominal trauma in most trauma centers.CT is to define the site and extent of organ injuries, but also to exclude other significant injury, thereby avoiding unnecessary surgery.The objective of our study was to evaluate the role of US and CECT for the depiction of organ injury and compare the findings of these two frequently used modalities Material and methods: This was a cross sectional study which included 40 patients with no age predilection with history of trauma referred to radiology department for US and CT for a period of 18 months (Jan 2018 -June 2019).Results: Forty patients with a history of blunt abdominal trauma were evaluated by US and CT.There were 31 male and 9 female patients.The age of patients ranged from 8 to 75 years.The mean age was 37.85 years.1 patient was child (< 12 years).Eighteen patients were 40 years or older.Conclusion: US is a valuable initial modality for evaluation of patients with abdominal trauma.CT is required in most US positive patients to delineate the exact extent of injury and exclude any other significant injuries.US or CT quantification of hemoperitoneum or grading of injury does not always dictate whether the management should be conservative or surgical.However they reflect the severity of injury and injuries of severe grade with large free fluid are more likely to require a laparotomy.