Article

BLUNT ABDOMINAL TRAUMA; ROLE OF ULTRASONOGRAPHY VS FOUR QUADRANT TAP

Professional Medical Journal 01/2005; 12(1):59-63.

ABSTRACT To define the role of ultrasonography and four quadrant tap in deciding the treatment plan (conservative/operative) in blunt abdominal trauma . (2) To find out the specificity and sensitivity of ultrasonography and four quadrant tap in blunt abdominal trauma. Design: Prospective study. Setting: Allied Hospital Faisalabad. Period: From Jan 2001 to Jan 2002. Materials and methods: Fifty patients irrespective of age, sex and mode of blunt injury included in the study. All the patients presented in emergency ward with blunt abdominal trauma underwent ultrasonography & four quadrant tap. Results: In 30 out of 50(60%) patients, the abdominal ultrasonography showed positive findings with the sensitivity of 90.62%, the specificity 94.44% and accuracy 92%. Four quadrant tap was positive in 29 patients out of 50(58%) with 87.09% sensitivity, 89.47% specificity and 88% accuracy. Conclusion: Four quadrant tap is as effective as ultrasonography to pick up the intra-peritoneal fluid in the assessment of blunt abdominal trauma patient but with slightly less sensitivity, specificity and accuracy. INTRODUCTION Blunt abdominal trauma is one of the most common causes of abdominal injuries and is usually associated with multi-organ injury. Unrecognized abdominal trauma is distressingly common cause of preventable death after trauma . Majority of patients can be saved from morbidity

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