• Talha Sarigoz, Yusuf Sevim, Inanc Samil Sarici, Omer Topuz, and Tamer Ertan.
• Department of General Surgery, Develi Hatice-Muammer Kocatürk State Hospital, Kayseri-Turkey.
• Ulus Travma Acil Cer. 2019 Mar 1; 25 (2): 137-141.

BackgroundThe clinical approach to back/flank wounds has evolved over the years. The aim of this study was to discuss the potential of computed tomography tractography in patients with a stab wound to the back or flank.MethodsA total of 25 stable patients with stab wounds confined to the back/flank region were enrolled in this retrospective study. After initial resuscitation and physical examination, tractography was performed at the site of the stab wound. The patients subsequently underwent computed tomography with intravenous contrast.ResultsComputed tomography tractography helped avoid a laparotomy in 15 (60%) patients and accurately revealed a peritoneal breach in 10 (40%) patients. No missed injuries were reported in the conservatively followed patients.ConclusionThe addition of tractography to computed tomography is a safe, fast, and cost- and time-effective technique to evaluate back/flank stab wounds.

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