Diagnostic aspects of closed abdominal injuries
- Authors: Malkov IS1, Filippov VA1, Korobkov VN1, Khalilov K.M2, Tagirov MR1, Gabitov IM2
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Affiliations:
- Kazan state medical academy
- City clinical hospital №7
- Issue: Vol 97, No 6 (2016)
- Pages: 892-897
- Section: Theoretical and clinical medicine
- URL: https://journals.rcsi.science/kazanmedj/article/view/5639
- DOI: https://doi.org/10.17750/KMJ2016-892
- ID: 5639
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Abstract
Aim. To study diagnostic value of various diagnostic methods for patients with closed abdominal injury, to develop a diagnostic algorithm to make a reasonable conclusion about the amount and severity of injuries of the abdomen.
Methods. Various diagnostic methods used in closed abdominal injuries from 120 patients admitted to Surgical Department №2 of Kazan city clinical hospital №7 from 2007 to 2015 were analyzed. Majority of victims (65%) with closed abdominal trauma were males aged 20 to 50 years.
Results. Efficiency of diagnostic program for patients with closed abdominal injury used in clinical practice was studied. In a closed abdominal trauma, injury of abdominal organs was detected in 52.5% of patients. 71.4% of those injuries were isolated and 28.6% were concomitant. According to frequency of injuries liver took the first place 15 (23.8%), followed by spleen on the second place (14; 22.2%) and kidneys (12; 19.1%) and intestine (12; 19.1%) on the third, bladder on the fourth (7; 11.1%), and pancreas on the fifth place (3; 4.8%). Importance of radiological methods and laparoscopy was demonstrated. Clinical examination and laboratory diagnostic techniques allow making a timely diagnosis in only 40% of victims. Informativity of radiologic study was 64%. The accuracy of ultrasound in damaged kidneys was 100%, that in rupture of liver was 72%, of spleen, 69%, and of the intestine (0%). Diagnostic accuracy of laparoscopy was 98.9%.
Conclusion. Experience and extensive acquaintance with modern literature allowed the authors to present the algorithm of examination of patients with suspected closed abdominal trauma.
About the authors
I S Malkov
Kazan state medical academy
Author for correspondence.
Email: ismalkov@yahoo.com
V A Filippov
Kazan state medical academy
Email: ismalkov@yahoo.com
V N Korobkov
Kazan state medical academy
Email: ismalkov@yahoo.com
Kh M Khalilov
City clinical hospital №7
Email: ismalkov@yahoo.com
M R Tagirov
Kazan state medical academy
Email: ismalkov@yahoo.com
I M Gabitov
City clinical hospital №7
Email: ismalkov@yahoo.com
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