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European Journal of Trauma and Emergency Surgery

Erschienen in:

01.12.2013 | Original Article

Is computed tomography necessary to determine liver injury in pediatric trauma patients with negative ultrasonography?

verfasst von: U. Kaya, U. Y. Çavuş, M. E. Karakılıç, A. B. Erdem, K. Aydın, B. Işık, S. Abacıoğlu, F. Büyükcam

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 6/2013

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Abstract

Purpose

Abdominal trauma is the third most common cause of all trauma-related deaths in children. Liver injury is the second most common, but the most fatal injury associated with abdomen trauma. Because the liver enzymes have high sensitivity and specificity, the use of tomography has been discussed for accurate diagnosis of liver injury.

Methods

Our study was based on retrospective analyses of hemodynamically stabil patients under the age of 18 who were admitted to the emergency department with blunt abdominal trauma.

Results

Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels were significantly higher as a result of liver injury. In the patients whose AST and ALT levels were lower than 40 IU/L, no liver injury was observed in the contrast-enhanced computed tomography (CT). No liver injury was detected in the patients with AST levels lower than 100 IU/L. Liver injury was detected with contrast-enhanced CT in only one patient whose ALT level was lower than 100 IU/L, but ultrasonography initially detected liver injury in this patient.

Conclusions

According to our findings, abdominal CT may not be necessary to detect liver injury if the patient has ALT and AST levels below 100 IU/L with a negative abdominal USG at admission and during follow-up.

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Titel: Is computed tomography necessary to determine liver injury in pediatric trauma patients with negative ultrasonography?
verfasst von: U. Kaya
U. Y. Çavuş
M. E. Karakılıç
A. B. Erdem
K. Aydın
B. Işık
S. Abacıoğlu
F. Büyükcam
Publikationsdatum: 01.12.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 6/2013
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-013-0322-2

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Is computed tomography necessary to determine liver injury in pediatric trauma patients with negative ultrasonography?

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