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Diagnostic Radiology (Expert Forum)
CT yield abdominal injury
Answered by
Sumer K Sethi, MD - Radiology
Teleradiology Providers
Delhi - India
Questions in the Diagnostic Radiology forum cover topics including body imaging, bone scans, breast imaging, CT scan, magnetic resonance imaging (MRI), MRA, NMR, ultrasound, and x-rays.
CT yield abdominal injury
by arno71, May 01, 2008 07:14PM
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
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
Doctor's Answer
by Sumer K Sethi, MD, May 05, 2008 11:21PM
, May 05, 2008 11:21PM
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.
Member Comments (2)
by arno71, May 06, 2008 09:19AM
Thank you Dr Sethi,Your advise was very helpful,warm regards,
