Comparison of Efficacy of FAST and CT Scan in Patients with Blunt Abdominal Trauma

  • Ata Ul Lateef Associate Professor Surgery, Faisalabad Medical University, Allied Hospital, Faisalabad-Pakistan
  • Asrar Ahmad Khan Assistant Professor Surgery Faisalabad Medical University, Faisalabad
  • Maham Mansoor Rana Post Graduate Resident Year 3 Surgical Unit 1 Allied Hospital Faisalabad
Keywords: Blunt abdominal trauma, CT Scans, Hemoperitoneum, FAST (focused assessment with sonography in trauma)

Abstract

Background: Trauma is a major source of morbidity and mortality in modern era. Imaging and screening of trauma patients is vital in identifying the life-threatening injuries at the earliest, so appropriate therapeutic measurements can be taken immediately. The use of FAST and CT scan has replaced conventional methods in identification of intra-abdominal injuries. Objective: The objective of this study was to compare effectiveness of FAST and CT scan in blunt abdominal trauma patients. Study Design: Prospective study. Settings: Allied Hospital Faisalabad. Duration: 2 years from in 2016 to Dec 2017. Methodology: Patients who had come to our hospital with blunt abdominal trauma and who were stable enough to undergo both USG and CT scans were included into the study. Apart from routine tests, both USG and CT scans were performed for all the patients. Results:  Road traffic accidents are the most common cause of trauma (58.9%), followed by fall from heights (32.1%). Liver (73.2%), spleen (51.8%), kidneys (46.4%) and pancreas (12.5%) were found to be most commonly injured intra-abdominal organs. CT scan was able to detect presence of hemoperitoneum in 100% of the patients while FAST was only able to detect it in 83.9% of patients. Conclusions: CT scan is a superior imaging tool for the detection of Blunt abdominal trauma compared to FAST. However, the patient needs to be hemodynamically stable for CT to be performed.

Published
2019-02-06