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Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study

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Abstract

Our objective is to underline the place of FAST (focus assessment by sonography for trauma) ultrasonography (US) in the investigation of blunt abdominal trauma. We retrospectively examined the ultrasound findings in 1,999 haemodynamically stable adult patients. These people were admitted to the emergency room (ER) for possible blunt abdominal trauma. All were stable at admission and a FAST ultrasound examination was made. Initial findings were compared with the clinical course after at least 24 h of observation time and CT results. Among the 1,999 US examinations, abnormalities were found in 109 (5.5%) cases. Among them, 102 had free peritoneal fluid, and in 58 examinations, ruptures, lacerations or haematomas were demonstrated. Despite its limitations, such as in cases involving uncooperative patients, excessive bowel gas, obesity and empty bladder, the FAST technique seems to be an accurate method to evaluate the possibility of abdominal blunt trauma in stable patients. Because of the high negative predictive value of the FAST technique in stable patients with blunt abdominal trauma, we recommend that a stable patient with negative ultrasound results at admission remain under close observation for at least 12 or preferably 24 h before being discharged.

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Authors and Affiliations

  1. Department of Radiology, Tzanio General Hospital, Piraeus, Greece

    Ioannis Kornezos, Panagiotis Nebotakis, Hippocrates Moschouris & Dimitrios Matsaidonis

  2. First Department of Radiology, University of Athens, Aretaieio Hospital, Athens, Greece

    Achilles Chatziioannou & Dimitrios Mourikis

  3. Department of Respiratory Medicine, General Military Hospital, Athens, Greece

    Ioannis Kokkonouzis

  4. Department of Radiology , University Hospital Heraklion, Crete, Greece

    Spiridon Yiarmenitis

  5. 137 El. Venizelou Av., 17123 Nea Smirni, Athens, Greece

    Ioannis Kornezos

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  1. Ioannis Kornezos
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  2. Achilles Chatziioannou
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  3. Ioannis Kokkonouzis
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  4. Panagiotis Nebotakis
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  5. Hippocrates Moschouris
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Correspondence to Ioannis Kornezos.

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Kornezos, I., Chatziioannou, A., Kokkonouzis, I. et al. Findings and limitations of focused ultrasound as a possible screening test in stable adult patients with blunt abdominal trauma: a Greek study. Eur Radiol 20, 234–238 (2010). https://doi.org/10.1007/s00330-009-1516-1

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  • DOI: https://doi.org/10.1007/s00330-009-1516-1

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