scholarly journals Safety and Effectiveness of Transarterial Embolization for Blunt Abdominal Injuries: A Multicenter Study with Review of Literature

2017 ◽  
Vol 01 (01) ◽  
pp. 013-019 ◽  
Author(s):  
Mathew Cherian ◽  
Tejas Kalyanpur ◽  
Krishna Murali ◽  
Ashwin Garg ◽  
Yadav Munde ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Transarterial Embolization ◽  
Review Of Literature ◽  
Acute Renal Injury ◽  
The Mean ◽  
Imaging Signs ◽  
Embolization Procedure ◽  
Angiography And Embolization ◽  
Overall Mortality

Aims To evaluate the safety and effectiveness of transarterial embolization for blunt abdominal trauma in patients without the imaging signs of peritonitis or bowel injury. Materials and Methods A total of 45 patients (41 males and 4 females; mean age: 32.15) were studied, of which 48% were hemodynamically unstable. All patients underwent multidetector computed tomography prior to selective angiography and embolization. Outcomes were considered as favorable if embolization was successful in achieving hemostasis. The frequency of complications, mortality rates, and duration of hospital stay were calculated. Results Embolization was successful in achieving hemostasis in all patients. None of the patients required surgery to achieve hemostasis after embolization. The overall mortality rate was 13.3% and none related to persistent bleeding. The mean intensive care unit stay was 5.6 days and the median was 3.5 days. Only one patient required continued blood transfusion of more than 10 units after embolization. No major complications were encountered except for one patient who required hemodialysis for acute renal injury related to embolization procedure. Conclusion Transarterial embolization is very effective in treating bleeding related to blunt abdominal trauma even in hemodynamically unstable patients and is associated with minimal complications. Embolization should be considered as an integral part of resuscitative measures for bleeding related to trauma.

TO STUDY MODALITIES FOR EVALUATING THE ABDOMEN AFTER BLUNT ABDOMINAL TRAUMA

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Dr. Ishant Kumar Chaurasia ◽  
Dr. Muffazzal Rassiwala
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Organ Injury ◽  
Research Centre ◽  
Solid Organ ◽  
College Hospital ◽  
Medical College ◽  
The Social ◽  
Fall From Height ◽  
Overall Mortality

Background: This Study carried out in the Department of Surgery, Index Medical College Hospital & Research Centre, Indore both retrospectively and prospectively in patients with Blunt abdominal trauma. Result: Table shows overall mortality 14.6% in the period of study. Out of those patients who were discharged or had improved, 214, i.e. 85.6%of cases were improved. Mortality maximum in patient BAT due to RTA 64.52% and Mortality minimum in patient BAT due to fall from height 20%. In 116 laparotomy patients in blunt abdomen injury there were 219 internal organ injuries founded. Among these injuries hemoperitoneum, 94 cases i.e.37.6% was the most common, intr-op finding in BAT patient. Small intestine (ileal >jejunal) injury 45 cases i.e.18% was most common hollow viscous injury in BAT patient and pancreas is least common 1 cases. i.e. 0.4%. Involved organ in BAT. In solid organ injury there were maximum incidence of liver injury 34 cases. I.e. 13.6% followed by spleen 26 cases i.e.10.4%and kidney & ureter 11 cases. i.e. 4.4%. Conclusion: Improving the social morale of people especially the younger generation by providing Good education, Employment, Preventing Alcohol Abuse Proper law enforcement and some form of penalty regarding proper vehicle driving. Keywords: Modality, Abdomen & Blunt Abdominal Trauma

BILIOMA DUE TO BLUNT ABDOMINAL TRAUMA: A CASE REPORT AND REVIEW OF LITERATURE

2017 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Parth Vaghela ◽  
Jagrut Patel ◽  
Dharmendra Shah ◽  
Mihir Shah ◽  
Rajshree Vaghela
Keyword(s):  
Case Report ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Review Of Literature

scholarly journals Emergency Ultrasound Predicting the Need for Therapeutic Laparotomy among Blunt Abdominal Trauma Patients in a Sub-Saharan African Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
P. C. M. Musiitwa ◽  
M. Galukande ◽  
S. Bugeza ◽  
H. Wanzira ◽  
R. Wangoda
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Standard Of Care ◽  
Routine Practice ◽  
Trauma Patients ◽  
Diagnostic Challenge ◽  
Mortality And Morbidity ◽  
Portable Ultrasound ◽  
Sub Saharan ◽  
Overall Mortality

Background. The trauma burden globally accounts for high levels of mortality and morbidity. Blunt abdominal trauma (BAT) contributes significantly to this burden. Patient’s evaluation for BAT remains a diagnostic challenge for emergency physicians. SSORTT gives a score that can predict the need for laparotomy. The objective of this study was to assess the accuracy of SSORTT score in predicting the need for a therapeutic laparotomy after BAT.Method. A prospective observational study. Eligible patients were evaluated for shock and the presence of haemoperitoneum using a portable ultrasound machine. Further evaluation of patients following the standard of care (SOC) protocol was done. The accuracy of SSORTT score in predicting therapeutic laparotomy was compared to SOC.Results. In total, 195 patients were evaluated; M : F ratio was 6 : 1. The commonest injuries were to the head 80 (42%) and the abdomen 54 (28%). A SSORTT score of >2 appropriately identified patients that needed a therapeutic laparotomy (with sensitivity 90%, specificity 90%, PPV 53%, and NPV 98%). The overall mortality rate was 17%.Conclusion. Patients with a SSORTT score of 2 and above had a high likelihood of requiring a therapeutic laparotomy. SSORTT scoring should be adopted for routine practice in low technology settings.

EFFICACY AND SAFETY OF ANGIOGRAPHY AND EMBOLIZATION IN PEDIATRIC BLUNT ABDOMINAL TRAUMA.

2005 ◽  
Vol 33 ◽  
pp. A3
Author(s):  
Mary Heyrosa ◽  
Robert D Barraco ◽  
James W Jaffe ◽  
Mark D Cipolle ◽  
Michael D Pasquale ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Efficacy And Safety ◽  
Angiography And Embolization

scholarly journals Appendicitis Secondary to Trauma following a Camel Kick: Case Report and Review of Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Ali Toffaha ◽  
Omer Al-Yahri ◽  
Zainab Hijawi ◽  
Saif Al-Mudares ◽  
Mohannad Al-Tarakji ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Organ Injury ◽  
Abdominal Pressure ◽  
Review Of Literature ◽  
Pertinent Literature ◽  
Surgical Practice ◽  
Close Observation ◽  
Pathophysiologic Mechanisms

Introduction. Independently, trauma and appendicitis are two of the most common conditions in surgical practice. Rarely, both conditions may coexist, which raises the controversy whether it is merely a coincidence or trauma may lead to acute appendicitis. Presentation of Case. We report a case of acute appendicitis after blunt abdominal trauma caused by a camel hoof kick to the abdomen in a young man and discuss the potential underlying pathophysiologic mechanisms with review of the pertinent literature. Conclusions. Blunt abdominal trauma caused by a camel kick to the abdomen requires a close observation of the patients. A camel kick may increase intra-abdominal pressure and cause internal organ injury including the appendix. Therefore, acute appendicitis should be considered in differential diagnosis in any patient with abdominal pain resembling appendicitis following blunt abdominal trauma.

scholarly journals Pericardio-diaphragmatic rupture following blunt abdominal trauma: Case report and review of literature

2016 ◽  
Vol 19 ◽  
pp. 168-170
Author(s):  
Bassem Abou Hussein ◽  
Ali Khammas ◽  
Hadiel Kaiyasah ◽  
Abeer Swaleh ◽  
Nazim Al Rifai ◽  
...  
Keyword(s):  
Case Report ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diaphragmatic Rupture ◽  
Review Of Literature ◽  
Trauma Case

scholarly journals Laparoscopy for blunt abdominal trauma: a challenging endeavor

2018 ◽  
Vol 108 (4) ◽  
pp. 273-279 ◽  
Author(s):  
M. Z. Koto ◽  
O. Y. Matsevych ◽  
F. Mosai ◽  
S. Patel ◽  
C. Aldous ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Injury Severity ◽  
Length Of Hospital Stay ◽  
Trauma Patients ◽  
Therapeutic Laparoscopy ◽  
The Mean ◽  
Trauma Score

Background and Aims: Laparoscopy in blunt abdominal trauma is challenging because of multiple associated injuries, higher trauma score values and higher morbidity and mortality, as compared with patients with penetrating abdominal trauma. The aim of this study was to investigate the role of laparoscopy in the management of blunt abdominal trauma patients and to highlight related challenges. Material and Methods: Over a 4-year period, patients managed laparoscopically for blunt abdominal trauma were retrospectively analyzed. Perioperative details, indications for laparoscopy and conversion, complications, and length of hospital stay were discussed. Results: A total of 35 stable patients underwent laparoscopy. The mean Injury Severity Score was 12 (4–38). Therapeutic laparoscopy was performed in 15 (56%) and diagnostic in 12 (44%) patients. Eight (23%) patients were converted to therapeutic laparotomy. Intraoperative bleeding, complex injuries, visualization problem, and equipment failure necessitated conversion. Three (30%) patients with negative computed tomography scan had therapeutic laparoscopy for mesenteric injuries. There were no missed injuries. The mean length of hospital stay was 11 days in both groups. Conclusion: Laparoscopy for stable patients is feasible and safe. Multiple injuries make laparoscopy more difficult, and advanced laparoscopic skills are required. The conversion rate is high; however, the non-therapeutic laparotomies were completely eliminated in this study.

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