A hemodynamically stable patient with blunt abdominal trauma, the best investigation is ?
CT Scan of Abdomen: It is most commonly used and better investigation for abdominal trauma. It is useful in blunt/penetrating trauma, suspected pancreas, spleen, liver, duodenal, retroperitoneal injuries. Smaller injuries, early haemoperitoneum are better detected. It is noninvasive, highly specifi c, highly accurate (96%), with low false-positive/low false-negative, noninvasive. Diagnostic Peritoneal Lavage (DPL) (by Perry) It is useful in blunt injury abdomen. It is not very useful in penetrating injury, bowel injury, retroperitoneal and pelvic injuries. Focused abdominal sonar trauma (FAST): It is rapid, noninvasive, poable bedside method of investigation focusing on pericardium, splenic, hepatic and pelvic areas. It is not reliable for bowel or penetrating injuries. It often needs to be repeated. SRB's Manual of Surgery, 4th Edition, pg. no. 150
CECT abdomen
MRI abdomen
DPL
FAST
Trauma