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Michael P. Federle, MD; Richard A. Crass, MD; R. Brooke Jeffrey, MD; Donald D. Trunkey, MD

Arch Surg. 1982;117(5):645-650.

Abstract
• Emergency abdominal computed tomography (CT) has been performed in more than 200 cases of acute blunt abdominal trauma. Computed tomography was highly sensitive and specific for a wide variety of intraperitoneal and retroperitoneal traumatic lesions. There were no false-positive or false-negative CT interpretations, except for a single case in which residual peritoneal lavage fluid was mistaken for intraperitoneal blood. Computed tomography has major advantages over other radiologic techniques, including angiography, and may obviate peritoneal lavage and exploratory laparotomy in some circumstances.

(Arch Surg 1982;117:645-650)

Author Affiliations
From the Departments of Radiology (Drs Federle and Jeffrey) and Surgery (Drs Crass and Trunkey), University of California, San Francisco.

Footnotes
Accepted for publication Dec 28, 1981.

Read before the 89th annual meeting of the Western Surgical Association, Albuquerque, Nov 17, 1981.

Reprint requests to Department of Radiology, San Francisco General Hospital, San Francisco, CA 94110 (Dr Federle).

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