CT yield abdominal injury

[arno71]

Dear sir/mam,

Would CT (no contrast )-abdomen/pelvis - show supected rupture/tear of the muscle itself or disruption from origin/implantation on iliac crest/pubic tubercle of the abdominal wall muscle.

If not what would be the most appropriate investigation to exlude injury to abdomnal wall muscle.

background hx - sustained injury 6 weeks ago,doing pull ups,no pain during training but started immediately after,most tender with pulling sensation and stifness over lateral part of pubic tubercle and over the iliac crest,pain constant,waking up at night with pain,no obvios assymetry,pain on deep palpation right lower qaudrant,no fever or urinary symptoms,no bruising,intially,

many thanks

[Sumer K Sethi, MD]

The abdominal wall muscles (rectus abdominis, external and internal obliques, and transverse abdominis) are injured by direct blows to the abdomen or by sudden or repetitive trunk movement, either rotation or flexion/ extension. With the exception of the rare rectus sheath hematoma that does not self-tamponade, the treatment for these problems is nonoperative with symptoms guiding rehabilitation and return to play decisions. Clinical examination is often enough for diagnosis. In special cases, imaging tools may help to elucidate the severity and the locations of the injury CT will show the injuries, but MRI will be the investigation of choice for evaluation of such injuries. Clinical examination is the best guide.

[arno71]

Thank you Dr Sethi,Your advise was very helpful,warm regards,