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Background: Urinary tract injuries involving the kidneys, ureters, and bladder are significant concerns in patients with
abdominal and pelvic trauma. Accurate classification and timely diagnosis are essential for effective management. This
study aims to evaluate the efficacy of Multidetector Computed Tomography (MDCT) in diagnosing these injuries
compared to conventional imaging methods, such as ultrasound (USG) and X-ray. Methods: A prospective study was
conducted on 30 patients with a history of abdominal or pelvic trauma, predominantly from Pondichery, India. Patients
underwent clinical examination, X-rays, and FAST (Focused Abdominal Sonography in Trauma) as initial assessments.
Those with specific indications were further evaluated using MDCT. The study analyzed injury prevalence, severity,
associated symptoms, and imaging findings. Results: Renal injuries were most prevalent in the 40-49 age group (28%),
while ureteric injuries were primarily observed in the 10-29 and 50-59 age groups (33.3% each). Bladder injuries were
most common in the 30-39 age group (50%). The majority of renal injuries were Grade 2 (32%), with Grade 4 and Grade 5
being the least common (8% each). Ureteric injuries were evenly distributed among Grades 2, 3, and 5 (33.3% each), while
Grade 2 bladder injuries were most frequent (50%). MDCT demonstrated superior sensitivity and specificity in detecting
renal, ureteric, bladder injuries, and pelvic fractures compared to USG and X-ray. Both MDCT and USG/X-ray exhibited
equal positive predictive values (100%) for these injuries; however, MDCT showed a higher negative predictive value,
making it a more reliable diagnostic tool. Conclusion: MDCT is highly accurate in diagnosing urinary tract injuries in
trauma patients, outperforming USG and X-ray in sensitivity, specificity, and negative predictive value. This study
supports MDCT as the preferred imaging modality for evaluating renal, ureteric, and bladder injuries in abdominopelvic
trauma. MDCT (Multidetector computed tomography) is a cross sectional imaging technique with multiplanar and multiple
reconstruction capabilities. Objective: The objective of this study was to find out role of MDCT in identifying varieties of
urinary tract injuries; grading and quantifying severity of such injuries and thus helping referring consultants in planning
treatment. Materials and methods: During the period of May 2016 to October 2016, a prospective study of 30 patients
having history of abdominal/pelvic trauma was carried out. CECT of abdomen and pelvis was performed on Phillips 16
slice MDCT machine using standard protocol. In a few selected patients(5 patients) CT cystogram was also performedddd |
