Document Detail


Periportal oedema of the liver: correlation with clinical and paraclinical parameters in polytraumatic patients.
MedLine Citation:
PMID:  19135928     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To clarify the occurrence of periportal edema in polytraumatic patients. MATERIALS AND METHODS: Retrospective analysis of computed tomography (CT) scans from 74 polytraumatic patients (12 females, 62 males; 14-88 years old, median 32 years) performed shortly after the trauma. Periportal oedema was found in 22 patients. The existence and extent of the periportal oedema were studied with regard to the injury type, sex, weight and age, heart frequency, arterial blood pressure, as well as the lactate, pH value, and base excess (BE) directly after the admission of the patient to the intensive care unit. RESULTS: There is a relevant statistical correlation between the existence of periportal oedema and the abdominal trauma (P<.0001), independent of the type of abdominal injury. No relevant correlation between periportal oedema and existence of liver rupture, liver haematoma, other abdominal organ injury, abdominal vessel injury, fracture in the skeletal system, or intracerebral bleeding was found. Periportal oedema occurs more commonly in females than in males, more in light weight patients than in the others, and more frequent in young patients than in older ones. There is no correlation with arterial blood pressure, heart rate, pH value, lactate, and BE. CONCLUSION: The existence of periportal oedema is one sign of abdominal trauma and is independent of liver injury. Although it correlates with the sex, weight, and age of the patient, there is no correlation with arterial blood pressure, heart rate, pH value, lactate, and BE.
Authors:
Fuad Barakat; Udo Kaisers; Thilo Busch; Bernd Donaubauer; Bernd Hamm; Rainer Röttgen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical imaging     Volume:  33     ISSN:  1873-4499     ISO Abbreviation:  Clin Imaging     Publication Date:    2009 Jan-Feb
Date Detail:
Created Date:  2009-01-12     Completed Date:  2009-04-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911831     Medline TA:  Clin Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  39-43     Citation Subset:  IM    
Affiliation:
Klinik für Strahlenheilkunde, Charité, Berlin, Germany. fuad.barakat@charite.de
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MeSH Terms
Descriptor/Qualifier:
Abdominal Injuries / radiography*
Adolescent
Adult
Aged
Aged, 80 and over
Edema / complications*,  radiography*
Female
Humans
Liver Diseases / complications*,  radiography*
Male
Middle Aged
Multiple Trauma / radiography*
Reproducibility of Results
Sensitivity and Specificity
Statistics as Topic
Tomography, X-Ray Computed / methods*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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