Abstract
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.
Keywords
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Article info
Publication history
Published online: October 10, 2008
Accepted:
June 2,
2008
Received:
May 1,
2008
Identification
Copyright
© 2009 Published by Elsevier Inc. All rights reserved.
