• İdil Güneş Tatar, Kerim Bora Yılmaz, Onur Ergun, Şener Balas, Melih Akıncı, Rıza Deryol, Gaye Ebru Şeker, Hakan Kulaçoğlu, and Baki Hekimoğlu.
• Department of Radiology, Dışkapı Training and Research Hopital, Ankara, Turkey. idilttr@yahoo.com.
• Ulus Travma Acil Cer. 2015 Jul 1; 21 (4): 256-60.

BackgroundThe purpose of this study was to evaluate the effect of clinical, laboratory and radiological results on treatment decision and surgical results in patients with blunt abdominal trauma, who were admitted to the emergency department due to traffic accident.MethodsTwo hundred and twenty-two patients with blunt abdominal trauma were included into this retrospective study. Pearson chi square, Mann-Whitney U test and logistic regression methods were used for statistical analysis.ResultsAll patients were analyzed by complete blood count and biochemistry and abdominal sonography. Eighty-two patients were also evaluated by CT. Twenty-three patients underwent surgery. Positive findings on physical examination, sonography and CT, increased white blood cell count and liver function tests, decreased hemoglobin were associated with the need for surgery.DiscussionFor the surgical evaluation of patients with blunt abdominal trauma, a reliable physical examination is not possible when the patients have concomitant injuries causing disturbing pain, or when the patients are unconscious. Laboratory tests should be interpreted with the clinical and radiologic analysis. Radiologic procedures play an important role in the management of patients with blunt abdominal trauma, especially for intubated patients.

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