Computed tomography scan

Computed tomography scan

CT has become the ‘gold standard’ for the intra-abdominal diagnosis of injury in the stable patient. The scan can be performed using intravenous contrast. CT is sensitive for blood and individual organ injury as well as for retroperitoneal injury . An entirely normal abdominal CT is usually su ffi cient to exclude intraperitoneal injury . The following points are important when performing CT: /uni25CF it remains an inappropriate investigation for physiologically compromised patients; /uni25CF if duodenal injury is suspected from the mechanism of injury , oral contrast may be helpful; /uni25CF if rectal and distal colonic injury is suspected in the absence of blood on rectal examination, air around the colon may indicate injury; in all cases clinical suspicion supersedes investigation results.

Figure 29.8 Compression injury to the liver, bursting the liver sub stance.

Computed tomography scan

CT has become the ‘gold standard’ for the intra-abdominal diagnosis of injury in the stable patient. The scan can be performed using intravenous contrast. CT is sensitive for blood and individual organ injury as well as for retroperitoneal injury . An entirely normal abdominal CT is usually su ffi cient to exclude intraperitoneal injury . The following points are important when performing CT: /uni25CF it remains an inappropriate investigation for physiologically compromised patients; /uni25CF if duodenal injury is suspected from the mechanism of injury , oral contrast may be helpful; /uni25CF if rectal and distal colonic injury is suspected in the absence of blood on rectal examination, air around the colon may indicate injury; in all cases clinical suspicion supersedes investigation results.

Figure 29.8 Compression injury to the liver, bursting the liver sub stance.

Computed tomography scan

CT has become the ‘gold standard’ for the intra-abdominal diagnosis of injury in the stable patient. The scan can be performed using intravenous contrast. CT is sensitive for blood and individual organ injury as well as for retroperitoneal injury . An entirely normal abdominal CT is usually su ffi cient to exclude intraperitoneal injury . The following points are important when performing CT: /uni25CF it remains an inappropriate investigation for physiologically compromised patients; /uni25CF if duodenal injury is suspected from the mechanism of injury , oral contrast may be helpful; /uni25CF if rectal and distal colonic injury is suspected in the absence of blood on rectal examination, air around the colon may indicate injury; in all cases clinical suspicion supersedes investigation results.

Figure 29.8 Compression injury to the liver, bursting the liver sub stance.