الفهرس 
Introduction and Aim of WorkOnly 14 pages are availabe for public view
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Abstract
Summary and Conclusion
In conclusion CT is the imaging modality of choice to
evaluate blunt abdominal trauma.
Our study was performed to establish the usefulness by
using the multidetector CT (MDCT), which allows high quality
two-dimensional and three-dimensional multiplanar reformatted
images to be obtained, aiding a valuable data in the diagnosis of
the complex multisystem injuries seen in the trauma. The
processing of images on workstations was easy and quick.
We believe that this technique is a reliable, safe, noninvasive
study that can guide in the management and follow up
of cases with blunt abdominal and pelvic trauma but require
stable vital signs.
Achieving proper and accurate evaluation, it is very
important to determine the presence, location and severity of
intra-abdominal injury whether or not there is contrast
extravasation to decide the surgical intervention. It is shown
that the radiological grade of severity of injury is helpful in
guiding management, and there is positive correlation between
grade of injury and increased likelihood of surgical
intervention, yet it is not contraindication for non operative
management if the patient is hemodynamically stable with
caution.
Summary and Conclusion
13 2
As our aim accurate diagnosis with no delay to decrease
mortality and morbidity we recommended MRCP additional
imaging if pancreatic duct can’t be evaluated by CT as it is
more reliable and diagnostic of pancreatic disruption compared
to CT. Moreover from our experience in trauma setting the
combination of arterial and portal venous phase MDCT
imaging has offered considerable data in characterize traumatic
vascular injuries.
To conclude: In trauma “time is life”. Outcomes greatly
improved when critical surgical explorations were provided
within the golden hour following injury. MDCT decrease the
unnecessary exploration and increase survival.