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Computed tomography (CT) used in cases of blunt abdominal trauma has been found sensitive in detection of bowel and mesenteric injuries and discrimination of operable from nonoperable candidates. Study aimed to evaluate the role of USG & MDCT in identifying IAI in patients with BAT and to provide information that could accurately determine choice of management. Material and methods: It was a prospective study done in the department of radiology done for a period of 1 year from September 2018 to September 2019. Evaluation of 50 patients with blunt abdominal injury by USG and MDCT. They were subjected to USG followed by MDCT. Results: Most of the patients admitted to the hospital were victims of RTAs (33 cases) accounting for 66% of blunt abdominal trauma. The age group of patients was very wide, ranging from 5-80 years, most commonly affected age group is 21-40 yrs.32(64%). Males are more affected than females, Male:Female ratio was 42:8. Most common affected organs were liver and spleen, accounting for 33% and 26% respectively. Third common affected organ was Hollow viscus (23%). Hemoperitoneum was observed in 28 patients. Sensitivity of USG in detecting hemoperitoneum was 89.28%. Sensitivity of MDCT in detecting hemoperitoneum was 100%. Sensitivity of USG in detecting solid organ injuries was 78.57%. Sensitivity of MDCT in detecting solid organ injuries was 92.3%. Conclusion: MDCT is the superior diagnostic modality in the diagnosis of blunt abdominal trauma. USG can be a valuable initial investigation.

Evaluation of Patients with Blunt Abdominal Injury by Ultrasonography (USG) and Multi Detector Computed Tomography (MDCT)