Comparison of the results of CT examination and surgical findings in blunt injuries of the liver and spleen

: In the course of 24 months (July 1 1996 till June 30, 1998) after CT examination of the abdomen 23 patients were subjected to laparotomy or laparoscopy as injury of the liver or spleen was assumed. Conclusions of CT are in the literature considered one of the necessary prerequisites of possible conservative treatment of the mentioned injuries, their accuracy and reliability is however not unequivocal. On comparison of the CT and surgical finding in the above patients at the time of examination the positive CT finding was correct in 17 of 19 cases, i.e. in 89%. Four patients were on count of clinical signs of intraabdominal injury operated despite a negative CT, in two of them liver injury was found in the obl. lig. falciforme. The overall accuracy was 83%. During the second assessment the overall accuracy increased to 87%. CT, using the A.A.S.T. classification underrated injury on average by 0.45 degree. In the authors' opinion CT of the abdomen is indicated in multiple injuries and severe associated injuries in case of circulatory stability as it makes it possible to examine effectively within a short time also other injured areas. It should always be made, using contrast.