Role of Ultra Sonography in Abdominal Injuries

Abstract

Background: Ultrasonography is a cheap, Readily avaialable, safe and non invasive investigation used in the evalution of patients with abdominal injuries No radiation effects are seen in ultrasonography Along with ultrasonography, CT scan and MRI is also used in diagnosing different abdorminal lesions. Aim of the study: Aim of our study was to evaluate diagnostic value of ultrasonography in the patients with abdominal injuries. Subjects and Methods: 120 patients were included in this study. Out of these 120 patients 95 patients were admitted with blunt abdominal trauma and 25 patients were admitted with penetrating abdominal injuries.Ultrasonography results in each patients is classified as true positive, false positive and false negative by comparing with findings at either diagnostic peritoneal lavage or surgery (1). Results: Out of 120 abdominal injury patients 95 were with blunt trauma and 25 patients were admitted with penentrating abdominal injuries. By scanning to detect free fluid, true positive were 102(85%) and false positive were 8(6.6%) false negative 6(5.2%) true negative are 9(7.5%). Conclusion: ultrasonography has a high diagnostic value in the screening of patients with blunt abdominal trauma and penetrating type injuries. In devoloping countries and in rural part of india emergency diagnosic facilities especially radiological investigations like ultrasonography and CT scan are lacking. So governement has to take initiations in arranging these type of diagnostic facilities to prevent the morbidity and mortality due to abdominal injuries.