|
Journal of Ultrasound in Medicine, Vol 20, Issue 4 351-357, Copyright © 2001 by American Institute of Ultrasound in Medicine
Patterns of fluid accumulation on screening ultrasonography for blunt abdominal trauma: comparison with site of injury
C. B. Sirlin, G. Casola, M. A. Brown, N. Patel, E. J. Bendavid and D. B. Hoyt
Department of Radiology, University of California, San Diego, USA.
The objectives of this study were to define where fluid accumulation is
shown on screening ultrasonography after blunt abdominal trauma and to
determine how fluid accumulation patterns are associated with the site of
injury. From 1994 to 1998, 2,693 screening examinations for blunt abdominal
trauma were performed, in which 7 regions were examined for fluid. On the
basis of a preliminary analysis of patients with solitary injuries, all 194
patients with sonographically detected fluid were grouped by fluid
accumulation pattern. Fluid patterns were compared with sites of injury.
The patterns differed between hepatic and splenic injuries. Fluid in the
left upper quadrant, in both upper quadrants, or diffusely distributed
suggested splenic injury, whereas fluid in the right upper quadrant or the
right upper quadrant and lower recesses suggested hepatic injury (P <
.0001). Fluid accumulation was random after enteric injury. Patients with
extraperitoneal injury had no fluid or had fluid focally at the injury
site. The ability to predict the injury site on the basis of fluid patterns
should expedite treatment of hemodynamically unstable patients with blunt
abdominal trauma.
This article has been cited by other articles:
|
|
|
|
 
M. Christie-Large, D. Michaelides, and S. James
Focused assessment with sonography for trauma: the FAST scan
Trauma,
April 1, 2008;
10(2):
93 - 101.
[Abstract]
[PDF]
|
|
|
|
|
|
|
O. Catalano, R. Lobianco, M. M. Raso, and A. Siani
Blunt Hepatic Trauma: Evaluation With Contrast-Enhanced Sonography: Sonographic Findings and Clinical Application
J. Ultrasound Med.,
March 1, 2005;
24(3):
299 - 310.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. R. Richards, E. L. Ormsby, M. V. Romo, M. A. Gillen, and J. P. McGahan
Blunt Abdominal Injury in the Pregnant Patient: Detection with US
Radiology,
November 1, 2004;
233(2):
463 - 470.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. R. Richards, P. J. McGahan, M. G. Jewell, L. C. Fukushima, and J. P. McGahan
Sonographic Patterns of Intraperitoneal Hemorrhage Associated With Blunt Splenic Injury
J. Ultrasound Med.,
March 1, 2004;
23(3):
387 - 394.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. A. Brown, C. B. Sirlin, D. B. Hoyt, and G. Casola
Screening Ultrasound in Blunt Abdominal Trauma
J Intensive Care Med,
September 1, 2003;
18(5):
253 - 260.
[Abstract]
[PDF]
|
|
|
|
|
|
|
O. Catalano, R. Lobianco, F. Sandomenico, and A. Siani
Splenic Trauma: Evaluation With Contrast-Specific Sonography and a Second-Generation Contrast Medium: Preliminary Experience
J. Ultrasound Med.,
May 1, 2003;
22(5):
467 - 477.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. B. Kruskal
Invited Commentary
RadioGraphics,
May 1, 2003;
23(3):
684 - 685.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. P. McGahan, J. Richards, and M. Gillen
The Focused Abdominal Sonography for Trauma Scan: Pearls and Pitfalls
J. Ultrasound Med.,
July 1, 2002;
21(7):
789 - 800.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
