УЛЬТРАЗВУКОВАЯ И РЕНТГЕНОЛОГИЧЕСКАЯ ДИАГНОСТИКА ПОВРЕЖДЕНИЙ ОРГАНОВ БРЮШНОЙ ПОЛОСТИ ПРИ ОГНЕСТРЕЛЬНЫХ РАНЕНИЯХ

R.Ya. Abdullaiev; I.A. Lurin; V.Ya. Belyi; F.I. Kulikova; Ya.L. Zarutskii; O.I. Solodyanikova; A.G. Kyrychenko; N.V. Tomakh; V.N. Khomiakov

doi:10.34921/amj.2023.2.003

Authors

R.Ya. Abdullaiev Kharkiv Medical Academy of Postgraduate Education
I.A. Lurin National Academy of Medical Sciences of Ukraine
V.Ya. Belyi Ukrainian military medical academy
F.I. Kulikova Dnipro State Medical University
Ya.L. Zarutskii Dnipro State Medical University
O.I. Solodyanikova National Academy of Medical Sciences of Ukraine
A.G. Kyrychenko State Institution “Ukrainian State Research Institute of Medical and Social Problems of Disability of the Ministry of Health of Ukraine “
N.V. Tomakh State Institution “Ukrainian State Research Institute of Medical and Social Problems of Disability of the Ministry of Health of Ukraine “
V.N. Khomiakov State Institution “Ukrainian State Research Institute of Medical and Social Problems of Disability of the Ministry of Health of Ukraine “

DOI:

https://doi.org/10.34921/amj.2023.2.003

Keywords:

abdominal organs, ultrasound and radiologic diagnostics, gunshot wounds

Abstract

The article presents the findings of X-ray and ultrasound examinations conducted to diagnose 128 abdominal organ injuries resulting from gunshot wounds in 71 patients. Gunshot wounds to the abdomen predominantly affected the small and large intestines (P<0.001), followed by the liver, kidneys, stomach, spleen, and bladder. The X-ray diagnosis of abdominal organ injuries was carried out with a significantly higher degree of reliability (P<0.001) compared to parenchymal organ injuries. The presence of free gas in the abdominal cavity and retroperitoneal space was observed in 83 cases, and it was diagnosed radiographically in 76 (91.6±3.0%) instances, while ultrasonographically in 54 (65.1±5.2%) instances (P<0.001). Free fluid was detected in 34 cases, and it was diagnosed radiographically in 11 (32.4±8.0%) instances, while ultrasonographically in 32 (94.1±4.0%) instances (P<0.001).Summary. The article presents the findings of X-ray and ultrasound examinations conducted to diagnose 128 abdominal organ injuries resulting from gunshot wounds in 71 patients. Gunshot wounds to the abdomen predominantly affected the small and large intestines (P<0.001), followed by the liver, kidneys, stomach, spleen, and bladder. The X-ray diagnosis of abdominal organ injuries was carried out with a significantly higher degree of reliability (P<0.001) compared to parenchymal organ injuries. The presence of free gas in the abdominal cavity and retroperitoneal space was observed in 83 cases, and it was diagnosed radiographically in 76 (91.6±3.0%) instances, while ultrasonographically in 54 (65.1±5.2%) instances (P<0.001). Free fluid was detected in 34 cases, and it was diagnosed radiographically in 11 (32.4±8.0%) instances, while ultrasonographically in 32 (94.1±4.0%) instances (P<0.001).