Characteristics of Non-Penetrating Intra-Abdominal Injuries and Predictive Factors for Surgical Intervention Using Computed Tomography in King Narai Hospital.
Keywords:
Non-Penetrating Intra-Abdominal Injuries, computed tomography, treatment approachAbstract
This srudy aimed to study the characteristics of of Non-Penetrating Intra-Abdominal Injuries and Predictive Factors for Surgical Intervention Using Computed Tomography. A retrospective study was conducted on 124 patients with suspected blunt abdominal trauma who were hemodynamically stable and underwent CT imaging at Phra Narai Maharaj Hospital between October 1, 2015, and October 31, 2024. Patient data were reviewed from medical records, and CT scans were interpreted by two radiologists. Data were analyzed using descriptive statistics and multivariate logistic regression to identify factors associated with surgical management.
Results: Among the 124 patients, 66.94% were male, and 57.26% were aged between 15–45 years, with a mean age of 33.92 years. The most common cause of injury was traffic accidents (76.61%). The most frequent abnormal finding was hemoperitoneum (79.03%), followed by liver injury (41.94%) and splenic injury (19.35%). CT findings significantly associated with surgical treatment included high-grade splenic injury (AAST grade IV–V), bowel and mesenteric injury, intraperitoneal bladder rupture, retroperitoneal hemorrhage, and pneumoperitoneum (p < 0.05).
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