A COMPARATIVE STUDY OF ACCURACY OF FAST VS CECT ABDOMEN IN BLUNT TRAUMA ABDOMEN PATIENTS WITH SOLID ORGAN INJURY

Aim: To compare the accuracy of FAST vs CECT abdomen in patients presenting with blunt trauma abdomen with solid organ injuries.

Objectives:To determine the sensitivity and specificity of FAST and CECT abdomen in blunt trauma abdomen patients with solid organ injuries and to evaluate the management of blunt trauma abdomen patients according to FAST and CECT abdomen findings.

Material and Methodology: 100 patients above 18 years came to emergency /casualty, department of surgery of Dr BRAM Hospital Raipur with history of blunt trauma to abdomen with positive clinical findings were investigated for solid organ injuries using FAST and CECT abdomen. Data is collected prospectively from FAST scans and CECT scans conducted in blunt trauma abdomen (BTA) patients.Outcome of treatment were analysed according to FAST and CECT findings.

Result: In this study, the most common age group affected were between 26 -35 years of age, in which 88 patients were male and 12 patients were female. Most cases were due to road traffic accident followed by fall from height. Out of 100, organ injury was detected in 88 patients by FAST and in 98 patients by CECT scan. 94 patients were managed conservatively and 6 patients were managed by surgery.

Conclusion:CECT is more accurate than e-FAST in detecting abdominal injuries, offering higher sensitivity and specificity, especially for minor injuries and retroperitoneal damage. While e-FAST is useful for initial evaluation, CECT remains the gold standard for definitive diagnosis and management in blunt trauma abdomen patients.