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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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open access

Published: 19 July 2019

Frequency of Correct Findings of Abdominal Ultrasonography Compared with CT Scan in Detection of Solid Intra-Abdominal Visceral Injuries

Muhammad Khan, Muhammad Uzair, Junaid Yousaf, Abdul Waqas, Shaheer Khalid, Syed Ijlal Haider, Zainab Ijaz, Hafiaza Tasmia Arshad, Javeria Gulzar, Shumaila Zafar, Adina Aslam, Syed Yousaf Farooq, Hafiz Ehtisham-Ul-Haq, Muhammad Ahmad Tahir

The University of Lahore, Pakistan

journal of social and political sciences
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Pages: 256-263

Keywords: Intra-Abdominal Visceral Injuries, Ultrasonography, Computed Tomography Scan


Background: Blunt abdominal trauma (BAT) is very common, the prevalence being 12–15%. Evaluation of patients with BAT is a challenge. This study aimed to compare the USG & CT with regards the frequency of correct findings in the detection of solid intra-abdominal injuries. Objectives: To determine the frequency of correct findings of abdominal ultrasonography compared with CT scan in the detection of solid intra-abdominal visceral injuries. Methods: The study was carried out at Radiology Department Nishtar Hospital, Multan & Children Hospital Multan, Pakistan, for a duration of six months with Eighty-eight patients selected using non-probability purposive sampling technique. Results: Mean age of the patients was 35.83±14.02 years. There were 75(85.2%) male and 13(14.8%) female in the present study, respectively. Ultrasonography detected abdominal injury in 49(55.7%) patients while it was detected in 59(67%) patients by computed tomography scan. Abdominal injury detected by both ultrasonography and computed tomography was 48 patients (true positive). Ultrasound sensitivity was revealed 81.36%, specificity 96.55%, diagnostic accuracy 86.36%, Positive predictive value 97.95%, and Negative predictive value 71.79%. Conclusion: CT scan is the gold standard modality for blunt abdominal trauma, whereas ultrasound can be used as the first-line modality in the patients of blunt abdominal trauma.


  1. Al-Salamah SM, Mirza SM, Ahmad SN, Khalid K. Role of ultrasonography, computed tomography, and diagnostic peritoneal lavage in abdominal blunt trauma. Saudi Med J. 2002;23:1350-5.

  2. Amer MS, Ashraf M. Role of FAST and DPL in assessment of blunt abdominal trauma. Professional Med J. 2008;15:200-4.

  3. Baluch GM. Diagnostic value of ultrasound in blunt abdominal trauma. J Surg Pakistan. 2001;6:23-5.

  4. Brown CK, Dunn KA, Wilson K. Diagnostic evaluation of patients with blunt abdominal trauma: a decision analysis. Acad Emerg Med. 2000;7:385-96.

  5. Brenchley J, Walker A, Sloan JP, Hassan TB, Venables H. Evaluation of focused assessment with sonography in trauma (FAST). Emerg Med J. 2006;23:446-8.

  6. Ghaffar A, Siddiqui TS, Haider H, Khatri H. Postsurgical pneumoperitoneum – comparison of abdominal ultrasound findings with plain radiography. Journal of the College of Physicians and Surgeons Pakistan 2008;18:477-480.

  7. Fienstein AJ, McKenney MG, Cohn SM. Evaluating an ultrasound algorithm for patients with blunt abdominal trauma. 16-18 Aug 2004. RTO-MP-HFM-109; P6-1-10.

  8. Kendall JL, Kestler AM, Whitaker KT, Adkisson MM, Haukoos JS. Blunt abdominal trauma patients are at very low risk for intraabdominal injury after emergency department observation. West J Emerg Med 2011;12(4):496–504.

  9. Khan JS, Iqbal N, Gardezi JR. Pattern of visceral injuries following blunt abdominal trauma in motor vehicular accidents. J Coll Physicians Surg Pak.2006;16:645-7.

  10. Latif A, Farooq MA, Azhar MA. Diagnostic value of ultrasonography in evaluation of blunt abdominal trauma. Rawal Med J. 2008;33(2):154-8.

  11. Kudera JS, Aanning HL. Damage control for blunt hepatic trauma: case presentation and historical review. S D J Med 2004; 57:449-53.

  12. Mazhar Naeem, Anjum Syed, Qazi Razwan, Amin Muhammad Panazai, Jamil Ahmed. Role of Ultrasonography in blunt abdominal injury. Mother & Child 1999;37: 27-31.

  13. Memon N, Sheeba A, Memon K. Role of ultrasonography & CT scan in blunt abdominal trauma (BAT). J Liaqat Uni Med Health Sci 2009;08:41-5.

  14. Mohapatra S, Pattanayak SP, Rao KRRM. Options in the management of solid visceral injuries from blunt abdominal trauma. Indian J Surg 2003;65:263–8.

  15. Mohsin N, Jesrani A, Mahmud R, Nizamani WM, Ali M. Evaluation of Injuries in Patients with Blunt Abdominal Trauma by Ultrasonography taking Computerized Tomography as Gold Standard Imaging Modality-Experience at Liaquat National Hospital. J Liaquat Uni Med Health Sci. 2018;17(01):42-6.

  16. Moriwaki Y, Sugiyama M, Toyoda H, kosuge T, Arata S, Iwashia M, et al. Ultrasonography for the Diagnosis of Intraperitoneal Free Air In Chest-Abdominal -Pelvic Blunt Abdominal and Critical Acute Abdominal Pain. Arch Surg 2009;144: 137-41.

  17. Nirav Patel, Niket Domadia, Konark Assessment with Sonography for Trauma (FAST) and CT scan in abdominal trauma: Radiologist’s perspective. IAIM, 2015; 2(6): 123-35.

  18. Paajnen H, Lahti P, Nordback I. Sensitivity of transabdominal ultrasonography in detection of intraperitoneal fluid in humans. Eur Radiol 1999;9:1423–5.

  19. Pathan A. Role of ultrasound in the evaluation of blunt abdominal trauma. J Liaquat Uni Med Health Sci. 2005;4(1):23-8.

  20. Ravindernath ML, Reddy GM. Comparison of efficacy of CT scan and ultrasound in patients with blunt abdominal trauma. Int J Adv Med 2017;4:370-4.

  21. Richards JR, Knopf NA, Wang L, McGahan JP. Blunt abdominal trauma in children: evaluation with emergency US. Radiology 2002;222:749-54.

  22. Sahu SK, Husain M, Sachan PK. Spontaneous Pneumoperitoneum: A Surgeon's Dilemma. The Internet Journal of Surgery 2008;15:2.

  23. Saira Hamid, Noreen Rasheed, Fouzia Rani. Diagnostic Accuracy of Ultrasound in Detection of Visceral Injury in Blunt Abdominal Trauma. P J M H S VOL. 8 NO.4 OCT – DEC 2014. 959-62.

  24. Shafiq M, Khokhar RA. Blunt abdominal trauma: diagnostic modalities and management. J Surg 2001;23-24:4-9.

  25. Shek CK, Tai WH, Pong LL, Chi TT, Kit LGK. Diagnostic accuracy of FocusedAbdominal Sonography for Trauma in blunt abdominal trauma patients in a trauma centre of Hong Kong. Chin J Traumatol 2012;15(5):273-278.

  26. Styner JK. The birth of advance trauma life support (ATLS) Surgeon. 2006;4:163-5.

  27. Weishaupt D, Grozaj AM, Willmann JK, Roos JE, Hilfiker PR, Maricenk B. Traumatic injuries: imaging of abdominal and pelvic injuries. In: Baert AL, Gourtsoyannis N, editors. Categorical course ECR. Vienna, Australia: European Congress of Radiology; 2003. p.123-39.

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