Active Bleeding in Computed Tomography in Abdominal Trauma

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Trauma is the leading cause of death in people under the age of 40; in which abdominal trauma associated with bleeding is the cause of death in 40% of the cases. Multidetector Computed Tomography (MDCT) with intravenous contrast has high sensitivity to detect intraabdominal active bleeding, being em...

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Autores principales: Rivas, IA, Guerra, MC, Morales, JI, Cámara, H
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
active bleeding
abdominal trauma
tomography.
sangrado activo
trauma abdominal
tomografía
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25781
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10article-25781
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic active bleeding
abdominal trauma
tomography.
sangrado activo
trauma abdominal
tomografía
spellingShingle active bleeding
abdominal trauma
tomography.
sangrado activo
trauma abdominal
tomografía
Rivas, IA
Guerra, MC
Morales, JI
Cámara, H
Active Bleeding in Computed Tomography in Abdominal Trauma
topic_facet active bleeding
abdominal trauma
tomography.
sangrado activo
trauma abdominal
tomografía
author Rivas, IA
Guerra, MC
Morales, JI
Cámara, H
author_facet Rivas, IA
Guerra, MC
Morales, JI
Cámara, H
author_sort Rivas, IA
title Active Bleeding in Computed Tomography in Abdominal Trauma
title_short Active Bleeding in Computed Tomography in Abdominal Trauma
title_full Active Bleeding in Computed Tomography in Abdominal Trauma
title_fullStr Active Bleeding in Computed Tomography in Abdominal Trauma
title_full_unstemmed Active Bleeding in Computed Tomography in Abdominal Trauma
title_sort active bleeding in computed tomography in abdominal trauma
description Trauma is the leading cause of death in people under the age of 40; in which abdominal trauma associated with bleeding is the cause of death in 40% of the cases. Multidetector Computed Tomography (MDCT) with intravenous contrast has high sensitivity to detect intraabdominal active bleeding, being embolization a top-rated tool in nonsurgical hemostatic management of traumatized patients. The objectives were to demonstrate the prevalence of Active Bleeding by MDCT with intravenous contrast in patients who presented abdominal trauma. To quantify the relation between Active Bleeding and the injury of a specific organ. To assess the number of patients treated by embolization for therapeutic purposes. We carried out a retrospective, cross- sectional, descriptive study of 417 patients with abdominal trauma and MDCT in the HUM in Córdoba. The inclusion criteria were: age over 16 with active bleeding in MDCT due to abdominal trauma. General prevalence and its relation to different variables (sex, age, affected organ, and embolization) were evaluated. Quantitative data are presented as Mean +/- standard deviation and percentages. Qualitative data are the various organs injured by abdominal trauma and its greater implication in men compared to women. The 26 patients, with an age of 29, 63 +/-9.9 years old, a range of 17-52 years, met the inclusion criteria. 20 patients (78%) were males and 65% of the total presented blunt abdominal trauma. The general prevalence of active bleeding in MDCT by abdominal trauma was 6.3%, being the kidney the most affected organ with 7 cases (27%). It was necessary to carry out embolization in 17 patients (65.3%). MDCT in abdominal trauma allows detecting active bleeding quickly and accurately, and it also enables to identify the origin of bleeding and the injured organ. In our experience, the prevalence of active bleeding was 6.23%. The most frequently injured organ was the kidney with 27% and in frequency order were intestinal, mesenteric and splenic injuries. Embolization was used as a hemostatic technique in 65.3% of the patients with active bleeding
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25781
work_keys_str_mv AT rivasia activebleedingincomputedtomographyinabdominaltrauma
AT guerramc activebleedingincomputedtomographyinabdominaltrauma
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