Abdominal ultrasound is an unreliable modality for the detection of hemoperitoneum in patients with pelvic fracture

  • Friese R
  • Malekzadeh S
  • Shafi S
 et al. 
  • 42

    Readers

    Mendeley users who have this article in their library.
  • 46

    Citations

    Citations of this article.

Abstract

BACKGROUND: Detection of hemoperitoneum in patients with pelvic fracture and hemodynamic instability is important to determine the need for laparotomy versus pelvic angiography. The use of ultrasound (FAST [Focused Assessment with Sonography for Trauma]) for the evaluation of hemoperitoneum after blunt abdominal trauma has become widespread. However, its sensitivity and specificity in patients with pelvic fracture remain poorly defined. The purpose of this study was to determine the sensitivity and specificity of FAST for the detection of hemoperitoneum in patients with pelvic fracture and an increased risk for hemorrhage. METHODS: The medical records for all admissions to our Level I trauma center from November 2003 to February 2005 were retrospectively reviewed. Inclusion criteria were presence of pelvic fracture with at least one of the following risk factors for hemorrhage: age > or =55, hemorrhagic shock (systolic blood pressure

Author-supplied keywords

  • Abdominal ultrasonography
  • Hemorrhage
  • Pelvic fracture

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Get full text

Authors

  • Randall S. Friese

  • Stephen Malekzadeh

  • Shahid Shafi

  • Larry M. Gentilello

  • Adam Starr

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free