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J Trauma Inj : Journal of Trauma and Injury



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2 "Incidental findings"
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Case Report
Incidental traumatic right diaphragmatic rupture: a missed case after trauma
Fatima Alharmoodi, Shadin Ghabra, Salem Alharthi
J Trauma Inj. 2023;36(1):56-59.   Published online June 23, 2022
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AbstractAbstract PDF
Traumatic diaphragmatic hernia is among the most uncommon conditions after severe trauma, and it is associated with high morbidity and mortality. The diagnosis is difficult and might be missed, but a multimodal investigation might help in terms of diagnostic yield. In this case report, we present a missed right diaphragmatic rupture 14 years after the trauma.
Original Article
Prevalences of Incidental Findings in Trauma Patients by Abdominal and Pelvic Computed Tomography
Jin Young Lee, Myung Jae Jung, Jae Gil Lee, Seung Hwan Lee
J Trauma Inj. 2016;29(3):61-67.   Published online September 30, 2016
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  • 2 Citations
AbstractAbstract PDF
Abdominal and pelvic computed tomography (APCT) is frequently used as a diagnostic tool in trauma patients. However, trauma unrelated, incidental findings are frequently encountered. The aim of this study was to determine the prevalences of incidental findings on APCT scans in trauma patients.
The archived records of 801 trauma patients treated from January 2013 to December 2015 were reviewed retrospectively. Six hundred and forty of these patients underwent contrast enhanced APCT in an emergency department and were included in this study, and 205 (32.1%) of these patients had incidental findings. These findings were divided into two categories: category I, meaning a radiological benign finding not requiring further evaluation or follow- up, and category II, requiring further evaluation and follow-up.
One hundred and sixty (24.8%) patients were allocated to category I and 45 (7.2%) to category II. The most frequent incidental findings were discovered in kidneys (34.6%), followed by liver (28.8%), and gallbladder (15.6%). The most frequent finding in category I was a benign cyst (60.1%), followed by a simple stone (15.6%), and hemangioma (11.9%). Adenomyomatosis of the gallbladder (17.8%) was the most common lesion in category II, followed by atypical mass (15.6%), complicated stone (15.6%) and cystic neoplasm (15.6%).
The prevalence of an incidental finding on APCT scans was 32.1%. Although category II lesions were not common in trauma patients, these findings should be communicated to patients, and when necessary referred to a primary care physician. Systems are required for producing appropriate discharge summaries and informing patients about the implications of incidental findings.


Citations to this article as recorded by  
  • Incidental Cancer Diagnoses in Trauma Patients: A Case–Control Study Evaluating Long-term Outcomes
    Nathaniel Bell, Amanda Arrington, Swann Arp Adams, Mark Jones, Joseph V. Sakran, Ambar Mehta, Jan M. Eberth
    Journal of Surgical Research.2019; 242: 304.     CrossRef
  • Filling the void: a low-cost, high-yield approach to addressing incidental findings in trauma patients
    Nicholas Sich, Andrew Rogers, Danelle Bertozzi, Praveen Sabapathi, Waed Alswealmeen, Philip Lim, Jonathan Sternlieb, Laura Gartner, James Yuschak, Orlando Kirton, Ryan Shadis
    Surgery.2018; 163(4): 657.     CrossRef

J Trauma Inj : Journal of Trauma and Injury