Volume : 7, Issue : 11, November - 2018

MULTIDETECTOR COMPUTED TOMOGRAPHY IN EVALUATION OF CHEST TRAUMA

Dr. Sakina Hasanji Kaydawala, Dr. Chhaya J Bhatt, Dr. Falguni R Parakh

Abstract :

<p>&nbsp;</p> <p class="MsoNormal"><span style="color:black;background:white">Chest trauma is a significant cause of mortality. It may be blunt or penetrating. <o:p></o:p></span></p> <p class="MsoNormal"><span style="color:black;background:white">Multidetector computed tomography (MDCT) is the best modality available to evaluate trauma. Herein, we aimed to present MDCT findings in patients chest trauma admitted to our department.<o:p></o:p></span></p> <h2 style="margin-top:13.5pt;margin-right:0in;margin-bottom:6.75pt;margin-left:&#10;0in;line-height:13.35pt;background:white"><span style="font-size:11.0pt;&#10;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;mso-ascii-theme-font:minor-latin;mso-hansi-theme-font:&#10;minor-latin;mso-bidi-font-family:Calii;mso-bidi-theme-font:minor-latin;&#10;mso-bidi-font-weight:normal">Methods<o:p></o:p></span></h2> <p class="p" style="margin-top:8.3pt;margin-right:0in;margin-bottom:8.3pt;&#10;margin-left:0in;background:white"><span style="font-size:11.0pt;font-family:&#10;&quot;Calii&quot;,&quot;sans-serif&quot;;mso-ascii-theme-font:minor-latin;mso-hansi-theme-font:&#10;minor-latin;mso-bidi-font-family:Calii;mso-bidi-theme-font:minor-latin;&#10;color:black">A total of 150 patients admitted to the emergency department of our hospital between March 2018 and July 2018 with a diagnosis of chest trauma who underwent MDCT evaluations were included in the study. <o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:13.5pt;margin-right:0in;margin-bottom:&#10;6.75pt;margin-left:0in;line-height:13.35pt;mso-outline-level:2;background:white"><b style="mso-bidi-font-weight:normal"><span style="mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-font-family:Calii;mso-bidi-theme-font:minor-latin">Results<o:p></o:p></span></b></p> <p class="MsoNormal" style="margin-top:13.5pt;margin-right:0in;margin-bottom:&#10;6.75pt;margin-left:0in;line-height:13.35pt;mso-outline-level:2;background:white"><span style="mso-fareast-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:Calii;&#10;mso-bidi-theme-font:minor-latin">Most of the patients injured were males (83.3%) in a younger age group with road traffic accidents being the most common cause. Rib fractures were the most common injury with a prevelance of 60%. Pulmonary contusions were the most common lung parenchymal injury found in 56.6% <o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:8.3pt;margin-right:0in;margin-bottom:8.3pt;&#10;margin-left:0in;line-height:normal;background:white"><span style="mso-fareast-font-family:&#10;&quot;Times New Roman&quot;;mso-bidi-font-family:Calii;mso-bidi-theme-font:minor-latin;&#10;color:black">Fractures of the bony thorax and pulmonary contusion was higher in the blunt trauma group, whereas the prevalence of hemothorax, was in h penetrating trauma than in blunt trauma.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:13.5pt;margin-right:0in;margin-bottom:&#10;6.75pt;margin-left:0in;line-height:13.35pt;mso-outline-level:2;background:white"><b style="mso-bidi-font-weight:normal"><span style="mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-font-family:Calii;mso-bidi-theme-font:minor-latin">Conclusion<o:p></o:p></span></b></p> <p class="MsoNormal" style="margin-top:8.3pt;margin-right:0in;margin-bottom:8.3pt;&#10;margin-left:0in;line-height:normal;background:white"><span style="mso-fareast-font-family:&#10;&quot;Times New Roman&quot;;mso-bidi-font-family:Calii;mso-bidi-theme-font:minor-latin;&#10;color:black">MDCT images yields a high degree of sensitivity and specificity in detecting chest injuries. <o:p></o:p></span></p>