Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma

Karen Brasel, Christine J. Olson, Renae E. Stafford, Thomas J. Johnson

Research output: Contribution to journalArticle

91 Citations (Scopus)

Abstract

Objective: To determine the incidence and significance of free fluid on abdominal CT in blunt trauma. Design: Retrospective chart review. Methods: All blunt trauma patients with an abdominal computed tomographic scan from August of 1993 to December of 1995 were identified from the trauma registry at a Level 1 trauma center. A total of 1,159 computed tomographic scans were performed; records of 18 patients were excluded for incomplete records. Official reports of computed tomographic scans were reviewed for free fluid, solid organ injury, bladder injury, and pelvic fracture. Results: Free fluid without solid organ injury was found in 3% (34 of 1141). Laparotomy was performed because of free fluid in 13 patients. There were six small bowel injuries and one diaphragm injury for a therapeutic laparotomy rate of 54%. Ten patients had trace free fluid and did not undergo laparotomy; none had a missed small bowel injury. Conclusions: The presence of more than trace amounts of free fluid without solid organ injury in patients with blunt trauma is a strong indication for exploratory laparotomy. Patients with isolated trace amounts of free fluid can be safely observed.

Original languageEnglish (US)
Pages (from-to)889-892
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume44
Issue number5
DOIs
StatePublished - May 1998
Externally publishedYes

Fingerprint

Incidence
Wounds and Injuries
Laparotomy
Trauma Centers
Diaphragm
Registries
Urinary Bladder

ASJC Scopus subject areas

  • Surgery

Cite this

Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma. / Brasel, Karen; Olson, Christine J.; Stafford, Renae E.; Johnson, Thomas J.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 44, No. 5, 05.1998, p. 889-892.

Research output: Contribution to journalArticle

Brasel, Karen ; Olson, Christine J. ; Stafford, Renae E. ; Johnson, Thomas J. / Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma. In: Journal of Trauma - Injury, Infection and Critical Care. 1998 ; Vol. 44, No. 5. pp. 889-892.
@article{14276936dace4988a6ddbe18218a442c,
title = "Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma",
abstract = "Objective: To determine the incidence and significance of free fluid on abdominal CT in blunt trauma. Design: Retrospective chart review. Methods: All blunt trauma patients with an abdominal computed tomographic scan from August of 1993 to December of 1995 were identified from the trauma registry at a Level 1 trauma center. A total of 1,159 computed tomographic scans were performed; records of 18 patients were excluded for incomplete records. Official reports of computed tomographic scans were reviewed for free fluid, solid organ injury, bladder injury, and pelvic fracture. Results: Free fluid without solid organ injury was found in 3{\%} (34 of 1141). Laparotomy was performed because of free fluid in 13 patients. There were six small bowel injuries and one diaphragm injury for a therapeutic laparotomy rate of 54{\%}. Ten patients had trace free fluid and did not undergo laparotomy; none had a missed small bowel injury. Conclusions: The presence of more than trace amounts of free fluid without solid organ injury in patients with blunt trauma is a strong indication for exploratory laparotomy. Patients with isolated trace amounts of free fluid can be safely observed.",
author = "Karen Brasel and Olson, {Christine J.} and Stafford, {Renae E.} and Johnson, {Thomas J.}",
year = "1998",
month = "5",
doi = "10.1097/00005373-199805000-00024",
language = "English (US)",
volume = "44",
pages = "889--892",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma

AU - Brasel, Karen

AU - Olson, Christine J.

AU - Stafford, Renae E.

AU - Johnson, Thomas J.

PY - 1998/5

Y1 - 1998/5

N2 - Objective: To determine the incidence and significance of free fluid on abdominal CT in blunt trauma. Design: Retrospective chart review. Methods: All blunt trauma patients with an abdominal computed tomographic scan from August of 1993 to December of 1995 were identified from the trauma registry at a Level 1 trauma center. A total of 1,159 computed tomographic scans were performed; records of 18 patients were excluded for incomplete records. Official reports of computed tomographic scans were reviewed for free fluid, solid organ injury, bladder injury, and pelvic fracture. Results: Free fluid without solid organ injury was found in 3% (34 of 1141). Laparotomy was performed because of free fluid in 13 patients. There were six small bowel injuries and one diaphragm injury for a therapeutic laparotomy rate of 54%. Ten patients had trace free fluid and did not undergo laparotomy; none had a missed small bowel injury. Conclusions: The presence of more than trace amounts of free fluid without solid organ injury in patients with blunt trauma is a strong indication for exploratory laparotomy. Patients with isolated trace amounts of free fluid can be safely observed.

AB - Objective: To determine the incidence and significance of free fluid on abdominal CT in blunt trauma. Design: Retrospective chart review. Methods: All blunt trauma patients with an abdominal computed tomographic scan from August of 1993 to December of 1995 were identified from the trauma registry at a Level 1 trauma center. A total of 1,159 computed tomographic scans were performed; records of 18 patients were excluded for incomplete records. Official reports of computed tomographic scans were reviewed for free fluid, solid organ injury, bladder injury, and pelvic fracture. Results: Free fluid without solid organ injury was found in 3% (34 of 1141). Laparotomy was performed because of free fluid in 13 patients. There were six small bowel injuries and one diaphragm injury for a therapeutic laparotomy rate of 54%. Ten patients had trace free fluid and did not undergo laparotomy; none had a missed small bowel injury. Conclusions: The presence of more than trace amounts of free fluid without solid organ injury in patients with blunt trauma is a strong indication for exploratory laparotomy. Patients with isolated trace amounts of free fluid can be safely observed.

UR - http://www.scopus.com/inward/record.url?scp=0031802662&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031802662&partnerID=8YFLogxK

U2 - 10.1097/00005373-199805000-00024

DO - 10.1097/00005373-199805000-00024

M3 - Article

C2 - 9603094

AN - SCOPUS:0031802662

VL - 44

SP - 889

EP - 892

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 5

ER -