1. 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

2. 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