CT of the abdomen and pelvis in trauma
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Choice of modality
According to US guidelines:
- The initial choice is generally CT of the abdomen and pelvis in trauma if the patient is stable enough for the exam.
- In unstable patients, X-ray of the thorax, X-ray of the abdomen and pelvis and FAST scan are preferable if they can be done with relatively little interference with resuscitation.
- Blunt trauma: Both initially and for follow up when patients are treated non-operatively. Also to clear patients before being dismissed from the ER to rule out significant injury, as an alternative to observation.
- Penetrating trauma. However, the indication for initial surgical exploration is higher than for blunt trauma.
- For a full list of contributors, see article Radlines:Authorship for details. . Creators of images are attributed at the image description pages, seen by clicking on the images. See
- Stephen Ledbetter and Robin Smithuis. Acute Abdomen - Role of CT in Trauma. Radiology Assistant.. Published August 2, 2007. Used with permission
- . Blunt Abdominal Trauma, ACR Appropriateness Criteria. American College of Radiology. Last review date: 2012