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Congress: ECR25
Poster Number: C-15399
Type: Poster: EPOS Radiologist (educational)
Authorblock: S. Akhobadze1, O. Urushadze2, G. Nemsadze1, G. Apkhazava1, L. Nemsadze1, S. Nozadze1; 1Tbilisi/GE, 2Tbilsi/GE
Disclosures:
Shota Akhobadze: Nothing to disclose
Otar Urushadze: Nothing to disclose
Grigol Nemsadze: Nothing to disclose
George Apkhazava: Nothing to disclose
Luka Nemsadze: Nothing to disclose
Salome Nozadze: Nothing to disclose
Keywords: Emergency, Trauma, CT, CT-Angiography, Arthrography, Trauma
Learning objectives History  Early efforts to create an organized system for describing and grading traumatic organ injuries included. Abbreviated Injury Scale - developed in 1971 in collaboration with the automotive industry to improve vehicle safety, as well as the Injury Severity Score - developed in 1974, first to predict survival Abdominal Trauma Index - developed in 1981, updated for blunt trauma in 1990, organ-specific injury grading, estimating morbidity/mortality    In the late 1980s, the American Association for the Surgery of Trauma (AAST) formed an Organ Injury...
Read more Background     CT scan with intravenous contrast is considered the gold standard in blunt and penetrating trauma.    In this retrospective study, 35 patients who sustained blunt abdominal trauma andhad underwent dual-phase CT (AP and portal venous phase (PVP)) from December2023 to October 2024 (11 months) were included.Splenic injuries were detected 11, liver injuries were detected 17, kidney injurieswere detected 7.     In these cases, the arterial and venous phases (20-30 s and 70-80 s of delay in acquiring the images, respectively) allow...
Read more Findings and procedure details The AAST liver injury scaleGrade I      Minor lacerations or contusions. These injuries involve superficial tears or bruising of the liver tissue with minimal bleeding and no significant disruption to liver function.  Subcapsular Hematoma: <10% surface area Laceration: capsular tear, <1 cm parenchymal depth Grade II      Moderate lacerations with bleeding. These injuries are more severe than Grade I and may require close monitoring but often can be managed without surgery. Subcapsular Hematoma: 10-50% surface area Intraparenchymal Hematoma: <10 cm diameter Laceration: capsular tear, 1-3 cm...
Read more Conclusion Liver injuries often result from blunt or penetrating trauma. The AAST liver injury scale plays a crucial role in categorizing these injuries, guiding treatment decisions, and predicting outcomes.   The AAST liver injury scale was developed by the American Association for the Surgery of Trauma (AAST) to standardize the classification of liver injuries. This scale is essential in trauma care, helping healthcare professionals communicate the severity of liver injuries and determine the appropriate treatment strategy. The scale grades liver injuries from...
Read more References 1.Oniscu GC, Parks RW, Garden OJ. Classification of liver and pancreatic trauma.   [DOI] [PMC free article] [PubMed] [Google Scholar] 2.Fodor M, Primavesi F, Morell-Hofert D, et al. Non-operative management of blunt hepatic and splenic injuries-practical aspects and value of radiological scoring systems. Eur Surg. [DOI] [PMC free article] [PubMed] [Google Scholar] 3.Petrowsky H, Raeder S, Zuercher L, et al. A quarter century experience in liver trauma: a plea for early computed tomography and conservative management for all hemodynamically stable patients. World J...
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