SUMMARY OF ABDOMINAL TRAUMA IMAGING *Grading: As Spleen or -Mild < 25%of one Lobe -Modr 25:50 % " " " -sever >50% *Radiological ex. is done for Hemodynamic stable Patient **C.T** -Pre & Post Contrast -Pre: - Not miss Contusion -Enhanced: - OraL"water soluble" - I.V:. I * It Differentiate: enh parenchyma & non enh Laceration Urine extraVas. Site of Active bleed *Fate: Mild  heal 3M Modr.  80% heal 6M Sever  20% heal 9:15M **RENAL Injury** Severity poorly correlate to presence or extent of Hematoma. C.T. Diagnose: to assess -Solid Pernchymal injury extent -Extra-vasated Urine -Hematoma Peri-Renal -State Of Vasc. Pedicle -Adjascent organ Injury Hematocrit Effect Lower hyperdense Fluid level in dependent part in hemoperiton, =Hemorrhage in Solid organs: -Pre Cont Hyperense. -Post Cont.  Hypodense as it not enhancing as normal parenchyma. *Grading: Laceration <1cm Laceration >1cm III Laceration reach collecting system or Lacer. + Large expanding Hematoma Pedicle AvuLsion Shuttered kidney **Splenic injury** MOST COMMON INJURIED ORGAN IN ABD. BLUNT TRAUMA. *Grades (ROLE OF 3) *Collecting system injury Contrast Leak in delayed Films. I-Lacer/Hematom<1cm II- " " " <3cm III- " " " ' >3cm Iv-Fragment>3 Pices *Pedicle Avulsion  Non enhancing Kidney *GIII 95% occur e Biobsy, To Avoid: -Use Thinnest Needle. -Avoid: Upper Pole avoid Lung injury Pedicle avoid Blood Vessel *Fate: GI:II Heal in 4 Mon GIII Heal in 6 Mon GIV Surgical Remove NB. Subcapsular Hematoma =Rupture Bladder  Fill Abd. e conrast rapidly. act as Tamponade in Spleenic injury *Hepatic Injury* It May be: -Hematoma SubCapsular or Parenchymal -Contusion/Lacerate -Vascular Damage -Biliary Injury

SUMMARY OF ABDOMINAL TRAUMA IMAGING *PANCREATIC Injur* -Rare To Injured. -Mostly Pediatric -It May Cause: Acute Pancreatitis Psudo Panc, Cyst Lacer Black Lines (Fractures Of Pancreas) \ Hematoma. *BOWEL Injury* =CT Signs: PnemoPeritonium Collection Cont Extravasation wall thicken>4 mm Bowel wall enhance Mesentric Hematoma