Abstract
Objective: To evaluate the importance of isolated pelvic free fluid (FF) detected by ultrasound examination in pregnant patients and in non-pregnant reproductive age women with blunt abdominal trauma (BAT). Methods: Reproductive age women aged 10-50 years who presented with BAT and underwent focused abdominal sonography for trauma (FAST) from January 1995 to June 2002 at a Level 1 trauma center were included. Patients were assigned to four groups according to the location of FF detected by ultrasound (Group 1, no FF; Group 2, FF in pelvis; Group 3, FF in abdomen; Group 4, FF in abdomen and pelvis). Ultrasound findings were compared with intra-abdominal and pelvic injuries detected by computed tomography and/or laparotomy. Pair-wise comparison was performed using a fisher's exact test. Results: Ultrasound detection of FF in the abdomen alone or FF in the abdomen and pelvis was significantly associated with intra-abdominal injury (IAI) compared to those without FF (P < 0.001) for both pregnant and non-pregnant reproductive age women. FF isolated to the pelvis was also associated with a higher injury rate compared to no FF in pregnant women (30% vs. 3%, P = 0.005) and in non-pregnant reproductive age women (39.5% vs. 3.7%, P < 0.001). Conclusions: In reproductive age women with BAT, ultrasound detection of FF in the abdomen alone, in both the abdomen and pelvis, or isolated to the pelvis is associated with a higher IAI rate. Therefore, isolated FF in the pelvis should not necessarily be considered physiological in pregnant and non-pregnant patients with BAT.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 271-278 |
| Number of pages | 8 |
| Journal | Ultrasound in Obstetrics and Gynecology |
| Volume | 26 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 2005 |
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Keywords
- Blunt abdominal trauma
- Injuries
- Intraperitoneum
- Pelvic free fluid
- Pregnancy
- Reproductive age women
- Ultrasound
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Radiology Nuclear Medicine and imaging
- Radiological and Ultrasound Technology
- Reproductive Medicine
- Acoustics and Ultrasonics
Cite this
Pelvic free fluid : Clinical importance for reproductive age women with blunt abdominal trauma. / Ormsby, E. L.; Geng, J.; McGahan, John P; Richards, John R.
In: Ultrasound in Obstetrics and Gynecology, Vol. 26, No. 3, 09.2005, p. 271-278.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pelvic free fluid
T2 - Clinical importance for reproductive age women with blunt abdominal trauma
AU - Ormsby, E. L.
AU - Geng, J.
AU - McGahan, John P
AU - Richards, John R
PY - 2005/9
Y1 - 2005/9
N2 - Objective: To evaluate the importance of isolated pelvic free fluid (FF) detected by ultrasound examination in pregnant patients and in non-pregnant reproductive age women with blunt abdominal trauma (BAT). Methods: Reproductive age women aged 10-50 years who presented with BAT and underwent focused abdominal sonography for trauma (FAST) from January 1995 to June 2002 at a Level 1 trauma center were included. Patients were assigned to four groups according to the location of FF detected by ultrasound (Group 1, no FF; Group 2, FF in pelvis; Group 3, FF in abdomen; Group 4, FF in abdomen and pelvis). Ultrasound findings were compared with intra-abdominal and pelvic injuries detected by computed tomography and/or laparotomy. Pair-wise comparison was performed using a fisher's exact test. Results: Ultrasound detection of FF in the abdomen alone or FF in the abdomen and pelvis was significantly associated with intra-abdominal injury (IAI) compared to those without FF (P < 0.001) for both pregnant and non-pregnant reproductive age women. FF isolated to the pelvis was also associated with a higher injury rate compared to no FF in pregnant women (30% vs. 3%, P = 0.005) and in non-pregnant reproductive age women (39.5% vs. 3.7%, P < 0.001). Conclusions: In reproductive age women with BAT, ultrasound detection of FF in the abdomen alone, in both the abdomen and pelvis, or isolated to the pelvis is associated with a higher IAI rate. Therefore, isolated FF in the pelvis should not necessarily be considered physiological in pregnant and non-pregnant patients with BAT.
AB - Objective: To evaluate the importance of isolated pelvic free fluid (FF) detected by ultrasound examination in pregnant patients and in non-pregnant reproductive age women with blunt abdominal trauma (BAT). Methods: Reproductive age women aged 10-50 years who presented with BAT and underwent focused abdominal sonography for trauma (FAST) from January 1995 to June 2002 at a Level 1 trauma center were included. Patients were assigned to four groups according to the location of FF detected by ultrasound (Group 1, no FF; Group 2, FF in pelvis; Group 3, FF in abdomen; Group 4, FF in abdomen and pelvis). Ultrasound findings were compared with intra-abdominal and pelvic injuries detected by computed tomography and/or laparotomy. Pair-wise comparison was performed using a fisher's exact test. Results: Ultrasound detection of FF in the abdomen alone or FF in the abdomen and pelvis was significantly associated with intra-abdominal injury (IAI) compared to those without FF (P < 0.001) for both pregnant and non-pregnant reproductive age women. FF isolated to the pelvis was also associated with a higher injury rate compared to no FF in pregnant women (30% vs. 3%, P = 0.005) and in non-pregnant reproductive age women (39.5% vs. 3.7%, P < 0.001). Conclusions: In reproductive age women with BAT, ultrasound detection of FF in the abdomen alone, in both the abdomen and pelvis, or isolated to the pelvis is associated with a higher IAI rate. Therefore, isolated FF in the pelvis should not necessarily be considered physiological in pregnant and non-pregnant patients with BAT.
KW - Blunt abdominal trauma
KW - Injuries
KW - Intraperitoneum
KW - Pelvic free fluid
KW - Pregnancy
KW - Reproductive age women
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=27544469234&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=27544469234&partnerID=8YFLogxK
U2 - 10.1002/uog.1981
DO - 10.1002/uog.1981
M3 - Article
C2 - 16116567
AN - SCOPUS:27544469234
VL - 26
SP - 271
EP - 278
JO - Ultrasound in Obstetrics and Gynecology
JF - Ultrasound in Obstetrics and Gynecology
SN - 0960-7692
IS - 3
ER -