The author report the review of their experience during the last 4 years (185 cases) in evaluating abdominal trauma by CT. In particolar, splenic, hepatic and renal lesions were studied. The patients were examinated by CT within 3 hours of the trauma and after evaluation of bio-humoral parameters. All the patient with grave splenic lesions and those with severe hepatic and renal lesions underwent surgery. No false positive cases were found. The authors take into account the sites of the lesions, their frequency and CT patterns. They also underline the importance of extending the study to the pelvis for an accurate evaluation not only of skeletal lesions, but primarily of any fluid collection in the Douglas pouch, which would be evidence of bleeding
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