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Penetrating Abdominal Trauma

  • Matthew T. Heller
  • Samuel A. Tisherman
Chapter

Abstract

Patients sustaining penetrating abdominal trauma may have a variable hemodynamic presentation. While the primary evaluation focuses on the identification of immediately life-threatening injuries, the secondary survey becomes critical in triaging patients who are hemodynamically stable. In addition to the physical examination, various adjunctive tests have been used with variable success during the secondary survey. Therefore, computed tomography (CT) has emerged as the procedure of choice for further assessment. The sensitivity, speed and universality of CT allow it to play a central role in the initial evaluation and triage of patients presenting with penetrating abdominal trauma. The use of multi-detector CT enables creation of multiplanar reformatted images that facilitate detection of occult injuries that may be overlooked during physical examination, surgery or imaging with other modalities.

Keywords

Active Hemorrhage Compute Tomography Evaluation Diaphragmatic Injury Reformat Image Excretory Phase 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  1. 1.Division of Abdominal Imaging, Department of RadiologyUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Departments of Critical Care Medicine and SurgeryUniversity of PittsburghPittsburghUSA

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