Vizualization in diagnosis of injuries of the abdominal cavity organs with gunshot wounds

Posted on by adminLeave a comment

Prof. R.Ya. Abdullaiev1, Ph.D. E.I. Grechanik2, asst. R.R. Abdullaiev1, prof. O.A. Oparin3

1 Kharkiv National Medical University

2 National Military Medical Clinical Center «Main Military Clnical Hospital», Kyiv

3 Ukrainian Humanitarian Institute

The article presents the results of radiographic and ultrasound examinations in the diagnosis of injuries to the abdominal organs in the case of gunshot wounds in 67 patients. In case of gunshot wounds to the abdomen, damage to hollow organs was recorded significantly (P<0.001) more often than to parenchymal organs. The sensitivity of radiography in the diagnosis of pneumoperitoneum was 90.3%, specificity — 75.0%, accuracy — 88.6%. The sensitivity of ultrasound was 89.3%, specificity — 66.7%, accuracy — 82.9%, respectively. In the diagnosis of hemoperitheneum, the sensitivity of ultrasound was 88.9%, the specificity was 80.0%, and the accuracy was 93.8%. The sensitivity of radiography was 89.3%, specificity — 66.7%, accuracy — 82.9%, respectively.

Key words: combat injuries, damage to abdominal organs, radiography, ultrasound.

https://doi.org/10.15407/internalmed2024.02.093

Download.PDF (ukr)

Cite:

Абдуллаєв Р.Я. Візуалізація у діагностиці ушкоджень органів черевної порожнини при бойовій травмі / Р.Я. Абдуллаєв, О.І. Гречаник, Р.Р. Абдуллаєв, О.А. Опарін //Східноєвропейський журнал внутрішньої та сімейної медицини. – 2024. – № 2. – С. 93-99. https://doi.org/10.15407/internalmed2024.02.093

Abdullaiev RYa, Grechanik EI, Abdullaiev RR, Oparin OA. Vizualizatsiia u diahnostytsi ushkodzhen orhaniv cherevnoi porozhnyny pry boiovii travmi [Vizualization in diagnosis of injuries of the abdominal cavity organs with gunshot wounds]. Shidnoevropejskij Zurnal Vnutrisnoi Ta Simejnoi Medicini. 2024(2):93-99.  https://doi.org/10.15407/internalmed2024.02.093

References:

  1. Saher S, Cohen N. Israeli experience of treating Syrian Civil War patients: analysis of the role of computerized tomography in the management of war injuries. J Emerg Trauma Care. 2016;3(2):1.
  2. Janak CJ, Mazuchowski EL, Kotwal RS, Stockinger ZT, Howard JT. Patterns of anatomic injury in critically injured combat casualties: a network analysis. Sci Rep. 2019. doi: 10.1038/s41598-019-50272-3.
  3. de Lesquen H, Beranger F, Berbis J, Boddaert G, Poichotte A, Pons F, Avaro JP. Challenges in war-related thoracic injury faced by French military surgeons in Afghanistan (2009–2013). Injury. 2016;47(9):1939–44. doi: 10.1016/j.injury.2016.06.008.
  4. Kashtalian MA, Khomenko IP, Gerasimenko OS, Shapovalov VYu. Features of surgical treatment of bullet wounds of the large intestine. Kharkiv Surg Sch. 2017;2(83):126–130.
  5. Wongwaisayawan S, Suwannanon R, Sawatmongkorngul S, Kaewlai R. Emergency thoracic US: the essentials. Radiographics. 2016;36(3):640–659. doi: 10.1148/rg.2016150064.
  6. Zarutsky YaL, Savitsky OF, Oliinyk YuM, Goncharuk VS, Tkachenko AYe, Forostyanyi PP, et al. Thoracoabdominal wounds diagnostic in the secondary medical care during the combined forces operation in the East of Ukraine. Surg Ukraine. 2019;4(72):7–10. doi: 10.29254/2077-4214-2019-1-2-149-258-262.
  7. Yenin RV, Gerasimenko OS, Khoroshun EM, Hayda YaI, Koshikov MO, Kvasnevsky YeA. Endoideurosurgery in the treatment of abdominal injuries and injuries in conditions of local conflict. Kharkiv Surg Sch. 2019;1(94):153–155.
  8. Cohen N. Israeli experience of treating Syrian Civil War patients: analysis of the role of computerized tomography in the management of war injuries. J Emerg Trauma Care. 2016;3(2):1.
  9. Dykan IM, Khomenko IP, Hrechanyk OI, Bubnov RV, Kolesnyk SV. Experience of radiation imaging of the wound canal. Mil Health Issues. 2017;48:120–132.
  10. Khomenko IP, Herasymenko OS, Yenin RV, Halushka AM, Kazmirchuk AP. Peculiarities of surgical treatment of abdominal gunshot wounds. Klin Khir. 2018;85(9):71–74. https://doi.org/10.26779/2522-1396.2018.09.71
  11. Cardi M, Ibrahim K, Alizai Sh W. Injury patterns and causes of death in 953 patients with penetrating abdominal war wounds in a civilian independent non-governmental organization hospital in Lashkargah, Afghanistan. World J Emerg Surg. 2019;1–8. doi: 10.1186/s13017-019-0272-z.
  12. Skyba VV, Rybalchenko VF, Ivanko OV, DarYasin A. Modern imaging technologies in the diagnosis of primary intra-abdominal complications in patients. Ukr Med J. 2021;2(142):92-95. doi: 10.32471/umj.1680-3051.142.205391.
  13. Matsevych OY, Koto MZ, Balabyeki M, Mashego LD, Aldous C. Diagnostic laparoscopy or selective non-operative management for stable patients with penetrating abdominal trauma: What to choose? J Minim Access Surg. 2018;15(2):130–6. doi: 10.4103/jmas.JMAS_72_18.
  14. Herasymenko OS, Yenin RV, Shepitko KV, Herasymenko SD. Optimization of diagnostic abdominal gunshot wounds in combat conditions. World Med Biol. 2019;1(67):38–42. doi: 10.26724/2079-8334-2019-1-67-38.
  15. Dykan IN, Voronzhev IA, Corol SA, Abdullaiev RR, Posokhov MF, Dudnik TA, Vasko LN, Kyrychenko AG. Medical imaging in combat injuries of the abdominal organs. Azerb Med J. 2023;1:42–47. https://doi.org/10.34921/amj.2023.1.006
  16. Savatmongkorngul S, Wongwaisayawan S, Kaewlai R. Focused assessment with sonography for trauma: Current perspectives. Open Access Emerg Med. 2017;9:57–62. doi: 10.2147/OAEM.S120145.
  17. Matsevych OY, Koto MZ, Balabyeki M, Mashego LD, Aldous C. Diagnostic laparoscopy or selective non-operative management for stable patients with penetrating abdominal trauma: What to choose? J Minim Access Surg. 2018;15(2):130–6. doi: 10.4103/jmas.JMAS_72_18.
  18. Richards JR, McGahan JP. Focused assessment with sonography in trauma (FAST) in 2017: what radiologists can learn. Radiology. 2017;283(1):30–48. doi: 10.1148/radiol.2017160107.