الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Blunt abdominal trauma is seen with increasing frequency in emergency rooms and is continuous to be associated with significant morbidity and mortality.
Intra-abdominal injuries following blunt trauma present a great medico-legal importance to the forensic experts. Sometimes there may be no external injury but the patient had died of IA hemorrhage. Exact injury may be not diagnosed except in operation by the surgeon or during autopsy by the autopsy surgeon. Abdominal organs are vulnerable to a variety of injuries due to lax compressible abdominal wall that transmits the force to abdominal viscera.
This study aimed to investigate the contribution of non-invasively and rapidly obtained clinical presentation and biochemical parameters in the early diagnosis of intra- abdominal injuries in blunt abdominal trauma patients. Then develop a scoring system and investigate its clinical applicability as pre-test to determine whether abdominal CT should be performed during the diagnosis or not. This may help to decrease number of malpractice claims due to medical negligence.
The study was conducted on 30 adult patients with blunt abdominal trauma presented to Emergency department (ED) of Ain Shams University Hospitals (ASUHs). Patients who were selected in the study were classified into two groups:
group I: Adult patients with blunt abdominal trauma with normal CT abdomen and (no IAIs,14 cases).
group II: Adult patients with blunt abdominal trauma with abnormal CT abdomen and (IAIs ,16 cases). For every patient, demographic, trauma and clinical data were collected. Laboratory parameters measured included: blood hemoglobin level, liver enzymes, kidney function tests, pancreatic enzymes and finally CT abdomen was done.