Occurrence of abdominal ultrasonographics findings verses CT scan in detection of intra-abdominal visceral injuries

Background: abdominal trauma may cause a significant diagnostic challenge to the trauma surgeons as well as radiologists. clinical findings are often unreliable and have low sensitivity for diagnosis of intra-peritoneal injuries following such injuries. ultrasound imaging is a common method of diagnosing intra-abdominal injuries. aim: to determine the occurrence of abdominal ultrasonographical findings verses with ct scan in detection of intra-abdominal visceral injuries in patients coming to radiological department of nishtar hospital,multan. study design: cross sectional study. setting: radiology department,nishtar hospital multan duration with dates: four months duration from 16th march2016 to 24th june 2016. methods: patients were included in study on the basis of history and clinical examination reporting to radiological department of nishtar hospital multan with suspicion of visceral organ injuries (like liver,spleen,pancreas and kidneys) requiring abdominal usg evaluation. all ultrasound examinations were done free of cost by the researcher on fukuda denshi (model: tellus,uf-550-xtd) followed by ct scans abdomen of all these patients free of cost on spiral ct scan (model: toshiba,aquilion,16 slices) using non ionic contrast media. results: mean age of presentation of patients was 35.35±11.27 years. there were 63(75.90%) male and 20(24.10%) female. free fluid was detected in 53(63.86%) patients on ultrasonography as well as on ct scan. sensitivity and specificity of ultrasonography in detecting abdominal injuries were 68.97% and 88% respectively,whereas its ppv was 93.02% and npv was 55%. diagnostic accuracy of usg was 74.70%. conclusion: ultrasonography is a reliable tool for detecting abdominal injuries.