Study of Blunt Chest Trauma using CT and Radiography in Sudan

Abstract

A retrospective study on chest trauma in Sudan and potential diagnosis has been carried out in a sample consists of 280 cases collected from Niyala teaching hospital, Kosti teaching hospital, Khartoum teaching hospital and Omdurman military hospital. The data analysis showed that: that the chest trauma predominated among male with a percent of 66.4% relative to the female group that represents 33.6%, and the incidence is higher among male relative to female during the whole range of ages and the average age of patient was (31.9±14.8) and (32.9±14.6 year). The blunt chest trauma is more common than penetrating one and representing about 73.6% while the penetrating represents only 26.4% of the cases and the incidence of chest trauma found even during childhood i.e. age group of 4-8 years, and increases rapidly following aging and peaking at age group of 24-28 years old. The common causes of chest trauma were the road traffic accidents (RTA) represents 56.5%, Gunshot represents 19.4%, stab wound 13.0% and the least was the fall-down which represents 11.1% and the common involved side in chest was the right lung 55.5%, then the left lung 20.9%, middle 13.6% and both lung 11%. The patient presentation was 53.6% as Heamoptysis, Dysphonea, Chest Pain, and Rib fracture. A 21.8% as Chest pain and Rib fracture. A 12.7% as Chest pain and dysphnea, and 11.8% of patients presented with chest pain only. The findings only being revealed by CT scan were liver-hematoma, sternum fracture, emphysema and pneumothorax. The study also reveal that: chest radiography had 38%, 95% and 70% as sensitivity, specificity and accuracy respectively. Key words: Blunt chest t trauma, potential diagnosis, Sudan