Ultrasonography in blunt abdominal trauma

This article discusses studies of the use of ultrasound in patients with blunt abdominal trauma, both in initial assessment and ongoing evaluation. Reviews of studies of children and adults to detect the presence and extent of hemoperitoneum and organ injuries are presented. Ultrasound results are compared with diagnostic peritoneal lavage, computed tomography, clinical course, and autopsy results. The central question addressed is to what extent can ultrasonography replace or supplement other techniques, particularly diagnostic peritoneal lavage, in the assessment of patients with blunt abdominal trauma. Ultrasound equipment, technique, scoring scales, limitations, and training issues are also addressed.