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Titolo:
US of blunt abdominal trauma: Importance of free pelvic fluid in women of reproductive age
Autore:
Sirlin, CB; Casola, G; Brown, MA; Patel, N; Bendavid, EJ; Deutsch, R; Hoyt, DB;
Indirizzi:
Univ Calif San Diego, Med Ctr, Dept Radiol, San Diego, CA 92103 USA Univ Calif San Diego San Diego CA USA 92103 diol, San Diego, CA 92103 USA Univ Calif San Diego, Med Ctr, Dept Surg, San Diego, CA 92103 USA Univ Calif San Diego San Diego CA USA 92103 Surg, San Diego, CA 92103 USA Univ Calif San Diego, Med Ctr, Dept Family & Prevent Med, San Diego, CA 92103 USA Univ Calif San Diego San Diego CA USA 92103 Med, San Diego, CA 92103 USA
Titolo Testata:
RADIOLOGY
fascicolo: 1, volume: 219, anno: 2001,
pagine: 229 - 235
SICI:
0033-8419(200104)219:1<229:UOBATI>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
SURGEON-PERFORMED ULTRASOUND; TRANS-VAGINAL SONOGRAPHY; FREE PERITONEAL-FLUID; ECTOPIC PREGNANCY; TRANSVAGINAL SONOGRAPHY; ECHOGENIC FLUID; ULTRASONOGRAPHY; HEMOPERITONEUM; PATIENT; LAVAGE;
Keywords:
abdomen, injuries; abdomen, US; kidney, injuries; liver, injuries; pelvic organs, US; peritoneum, fluid; spleen, injuries;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Sirlin, CB Univ Calif San Diego, Med Ctr, Dept Radiol, 200 W Arbor Dr, SanDiego, CA 92103 USA Univ Calif San Diego 200 W Arbor Dr San Diego CA USA 92103 USA
Citazione:
C.B. Sirlin et al., "US of blunt abdominal trauma: Importance of free pelvic fluid in women of reproductive age", RADIOLOGY, 219(1), 2001, pp. 229-235

Abstract

PURPOSE: To assess the importance of free fluid and to determine the accuracy of screening ultrasonography (US) in female patients of reproductive age with trauma. MATERIALS AND METHODS: US was performed in 1,047 patients, aged 10-60 years, to evaluate blunt trauma. Patients were retrospectively assigned to groups on the basis of presence and location of intraperitoneal free fluid. Injury and surgical injury rates were assessed by comparing US results with computed tomographic, repeat US, cystographic, peritoneal lavage, surgical, and/or autopsy findings in 144 patients and with final clinical outcome in 903. US scans were positive if fluid was outside the cul-de-sac or if suspicious parenchymal abnormalities were present. RESULTS: In 939 patients, no fluid was seen. Eight had injuries; three were surgical. In 56, anechoic fluid was isolated to the cul-de-sac: Two had injuries; one was surgical. In 26, fluid was isolated to the upper abdomen: Fifteen had injuries; five were surgical. In 22, fluid involved the pelvis and abdomen: Nineteen had injuries; 14 were surgical. In four, questionablefluid was isolated to the supravesical space. Patients with fluid in the cul-de-sac had similar injury and surgical injury rates as those with no fluid but had lower rates than those of patients with fluid elsewhere (P <.02 to P <.001). US screening had 89% sensitivity, 98% specificity, 97% accuracy, a 61% positive predictive value, and a 99% negative predictive value. CONCLUSION: In female patients of reproductive age with trauma, free fluidisolated to the cul-de-sac is likely physiologic; clinical follow-up should suffice. Patients with fluid elsewhere usually have clinically important injury and require further evaluation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 14:03:33