Original contribution
A comparison of diagnostic peritoneal lavage and computed tomography (CT scan) in evaluation of the hemodynamically stable patient with blunt abdominal trauma

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Abstract

The diagnosis of intmabdominal injury in the patient who is victim of blunt trauma is often problematic. Currently, two procedures, diagnostic peritoneal lavage (DPL) and computed tomography (CT scan) are used to evaluate patients with possible intraabdominal injuries after blunt trauma. Controversy exists as to which of these modalities is more efficacious in this setting. There are advantages and disadvantages of both procedures, however, present evidence suggests that the clinician should not rely on the results of the CT scan. The DPL, on the other hand is a sensitive and specific modality in evaluating the patient with blunt abdominal trauma.

References (40)

  • R.P. Fisher et al.

    Diagnostic peritoneal lavage

    Am J Surgery

    (1978)
  • G.A. Gomez et al.

    Diagnostic peritoneal lavage in the management of blunt abdominal trauma: a reassessment

    J Trauma

    (1987)
  • J.W. Davis et al.

    Complications in evaluating abdominal trauma: diagnostic peritoneal lavage versus computerized axial tomography

    J Trauma

    (1990)
  • S.T. Coleridge et al.

    Diagnostic peritoneal lavage

  • H. Root et al.

    The clinical and experimental aspects of peritoneal response to injury

    Arch Surgery

    (1967)
  • J.A. Marx et al.

    Utility of lavage alkaline phosphatase in detection of isolated small intestinal injury

    Ann Emerg Med.

    (1985)
  • C. Soderstrom et al.

    Pitfalls of peritoneal lavage in blunt abdominal trauma

    Surg Gynecol Obstet

    (1980)
  • E. Thal et al.

    Peritoneal lavage in blunt abdominal trauma

    Am J Surgery

    (1973)
  • K.I. Maull et al.

    Current management of pelvic fractures: a combined surgical-angiographic approach to hemorrhage

    South Med Journal

    (1976)
  • S.G. Hubbard et al.

    Diagnostic errors with peritoneal lavage in patients with pelvic fractures

    Arch Surg

    (1979)
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    Opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

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