scholarly journals Suprapubic penetrating abdominal trauma - defining peritoneal breach and choices in operative intervention

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Michael J Papanikolas ◽  
Anik Sarkar ◽  
Shivanthi Kandiah ◽  
Navin Niles
Keyword(s):  
Minimally Invasive ◽  
Abdominal Trauma ◽  
Operative Intervention ◽  
Organ Injury ◽  
Imaging Modalities ◽  
Abdominal Organ ◽  
Penetrating Abdominal Trauma ◽  
Stab Injury ◽  
Laparoscopic Techniques ◽  
Invasive Management

Abstract Penetrating abdominal trauma is an uncommon cause of presentation to emergency departments in Australia and is frequently associated with the clinical need for emergent operative intervention. Advances in imaging modalities, improved laparoscopic techniques and structured approaches to resuscitation in trauma have now allowed potential minimally invasive management of such injuries, avoiding laparotomy and therefore defining peritoneal breach; the major determinant of intra-abdominal organ injury in this setting is critical. We present the case of a self-inflicted stab injury to the suprapubic region in an otherwise healthy man and describe the combination of imaging and operative modalities used to define peritoneal breach in this case which successfully reduced the patient’s morbidity by avoiding non-therapeutic laparotomy.

scholarly journals 90 Penetrating Abdominal Trauma: Comperative Study Between Operative and Conservative Management

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Shalaby ◽  
M Ibrahim ◽  
T El Faioumy ◽  
M Elmessiry
Keyword(s):  
Abdominal Trauma ◽  
Operative Management ◽  
The Other ◽  
University Hospital ◽  
Organ Injury ◽  
Low Grade ◽  
Trauma Patients ◽  
Solid Organ ◽  
Penetrating Abdominal Trauma ◽  
Non Operative Management

Abstract Aim to Assess the feasibility and safety of selective non-operative management in penetrating abdominal injuries and to identify a protocol for selection of patient’s candidates for non-operative management. Method In this comparative study 40 abdominal stab victims (admitted to Emergency Department of Alexandria Main University Hospital) were selected during 6 months period where 20 patients were suitable for non-operative management according to strict selection criteria whereas the other 20 patients were operated according to clinical and/or radiological indications or on basis of department protocol, the results were compared in view of final outcome. Results In our study, 15 patients were assigned for operative management according to selected clinical and/or radiological indications only 3 of them (20%) had non-therapeutic laparotomies, On the other hand, five patients were explored on basis of department protocol in violation of our indications for exploration; four of them (80%) were non-therapeutic. So, the rate of non-therapeutic laparotomies was significantly higher when done mandatory without selected clinical and radiological indications. Conclusions Assessment of vital signs together with abdominal examination are the most important and dependable tools in decision making in penetrating abdominal trauma patients. Patients with shock on admission (but responding to resuscitation), proved low grade solid organ injury (by CT), and proved intraperitoneal collection (by US or CT) could be managed conservatively regarding that they remain vitally and clinically stable. If failure of conservation occurs, it is usually during the 1st 24 hours after admission.

scholarly journals A Dire Emergency Case of Stab Injury with Impending Ischemia of Eviscerated Bowel with Colonic Perforation - A Case Report

2021 ◽  
Vol 4 (6) ◽  
pp. 01-02
Author(s):  
Chatterjee S ◽  
M Amir ◽  
Sameer D ◽  
Prathamesh P
Keyword(s):  
Abdominal Trauma ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Colonic Perforation ◽  
Emergency Case ◽  
Penetrating Abdominal Trauma ◽  
Stab Injury ◽  
Ischemic Bowel ◽  
Work Up ◽  
Early Surgical Intervention

Penetrating abdominal trauma is mostly caused by gunshots or stab wounds.1 Management of penetrating abdominal trauma is often challenging and time between the injury and surgical intervention play a pivotal role in such cases depending upon the clinical presentation of the patient.The success rate depends so much on early surgical intervention that one cannot wait for pre-operative work up before taking the patient to operation theatre2. We present a case of stab injury presented with eviscerated ischemic bowel and perforation in transverse colon with mesenteric arterial spurter.

Management of intra-abdominal organ injury following blunt abdominal trauma in children

1993 ◽  
Vol 19 (7) ◽  
pp. 415-419 ◽  
Author(s):  
D. Rossi ◽  
J. de Ville de Goyet ◽  
S. Clément de Cléty ◽  
F. Wese ◽  
F. Veyckemans ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Organ Injury ◽  
Abdominal Organ

scholarly journals A Case of Pericardial Tamponade Caused by Abdominal Knife Stab Injury

2021 ◽  
pp. 1-2
Author(s):  
Zhongping Cao ◽  
Zhongping Cao
Keyword(s):  
Liver Injury ◽  
Pancreatic Injury ◽  
Pericardial Tamponade ◽  
Organ Injury ◽  
Gastric Injury ◽  
Abdominal Organ ◽  
Stab Injury

This paper reported a case of pericardial tamponade, caused by the blood from abdominal organ injury, which flowed through the diaphragm and pericardial holes into the pericardium. Liver injury, gastric injury, pancreatic injury, diaphragmatic break were found by the following laparotomy exploration.

scholarly journals Penetrating Abdominal Trauma in Children: A Tertiary Hospital Experience in a Developing Country

2021 ◽  
Vol 8 (1) ◽  
pp. 01-05
Author(s):  
Chukwubuike Emeka
Keyword(s):  
Small Intestine ◽  
Abdominal Trauma ◽  
Low Income ◽  
Tertiary Hospital ◽  
Abdominal Injury ◽  
Clinical State ◽  
Common Mechanism ◽  
Abdominal Organ ◽  
Female Ratio ◽  
Penetrating Abdominal Trauma

Objective: Penetrating abdominal trauma in children is a life threatening emergency. The objective of this study was to evaluate our experience in the management of penetrating abdominal trauma in children in a tertiary hospital in Enugu, Nigeria. Materials and Methods: This was a retrospective study of children that were managed for penetrating abdominal injury at the pediatric surgery unit of Enugu State University Teaching Hospital, Enugu, Nigeria. Medical records of the patients over a 10-year period were evaluated. Results: During the study period, there were 21 cases of penetrating abdominal injuries with an age range of 9 to15 years (median: 11 years) and male to female ratio of 4.25:1. Fourteen (66.7%) patients presented after 48 hours from the time of the incident. Gunshot injury was the most common mechanism of injury. Five (23.8%) patients were in a clinical state of shock on presentation to the hospital and 10 (47.6%) patients had evisceration of intra-abdominal organ. Small intestine was the most damaged intra-abdominal organ while head injury was the most associated extra-abdominal injury. Surgical site infection was a common post-operative complication and 2 (9.5%) patients expired. Conclusion: Penetrating abdominal trauma in children is uncommon. Late presentation is common in low income countries and the small intestine is the most damaged intra-abdominal organ.

Minimally Invasive Management of Abdominal Trauma

2018 ◽  
Vol 02 (02) ◽  
pp. 150-158
Author(s):  
Kaitlin Ritter ◽  
Jeffrey Claridge ◽  
Kevin El-Hayek
Keyword(s):  
Minimally Invasive ◽  
Abdominal Trauma ◽  
Clinical Judgment ◽  
Surgical Intervention ◽  
Solid Organ ◽  
Abdominal Injuries ◽  
Traditional Treatment ◽  
Treatment Algorithms ◽  
Image Guided ◽  
Invasive Management

AbstractManagement of traumatic abdominal injuries has traditionally relied upon a combination of systematic physical examination, image-guided evaluation, clinical judgment, and, when necessary, maximally invasive surgical intervention. Advances in the fields of interventional radiology, endoscopy, and laparoscopy have altered these traditional treatment algorithms. As growth of these techniques continues, an increasing number of minimally invasive strategies are available to clinicians for the management of abdominal trauma. Here reviewed is a brief overview of minimally invasive strategies for the management of non–solid organ abdominal trauma with a focus on new, minimally invasive diagnostic and treatment tools.

The use of contrast-enhanced ultrasound for the evaluation of solid abdominal organ injury in patients with blunt abdominal trauma

2012 ◽  
Vol 73 (5) ◽  
pp. 1100-1105 ◽  
Author(s):  
Jennifer E. Mihalik ◽  
R. Stephen Smith ◽  
Christine C. Toevs ◽  
Adin Tyler Putnam ◽  
James E. Foster
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Organ Injury ◽  
Contrast Enhanced Ultrasound ◽  
Abdominal Organ ◽  
Contrast Enhanced

scholarly journals EP.FRI.99 Penetrating Abdominal Trauma: Comperative Study Between Operative and Conservative Management

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Amr Shalaby ◽  
Mohammed Ibrahim ◽  
Tarek El Faioumy ◽  
Mohamed Elmessiry
Keyword(s):  
Abdominal Trauma ◽  
Vital Signs ◽  
Operative Management ◽  
The Other ◽  
Organ Injury ◽  
Low Grade ◽  
Trauma Patients ◽  
Solid Organ ◽  
Penetrating Abdominal Trauma ◽  
Non Operative Management

Abstract Aim to Assess the feasibility and safety of selective non-operative management in penetrating abdominal injuries and to identify a protocol for selection of patient candidates for non-operative management.  Methods In this comparative study 40 abdominal stab victims (admitted to Emergency Department) were selected during a 6 months period where 20 patients were suitable for non-operative management according to strict selection criteria whereas the other 20 patients were operated according to clinical and/or radiological indications or on basis of department protocol, the results were compared in view of final outcome.  Results In our study, 15 patients were assigned for operative management according to selected clinical and/or radiological indications only 3 of them (20%) had non-therapeutic laparotomies, On the other hand, five patients were explored on basis of department protocol in violation of our indications for exploration; four of them (80%) were non-therapeutic. So, the rate of non-therapeutic laparotomies was significantly higher when done mandatory without selected clinical and radiological indications.  Conclusion Assessment of vital signs together with abdominal examination are the most important and dependable tools in decision making in penetrating abdominal trauma patients. Patients with shock on admission (but responding to resuscitation), proved low grade solid organ injury (by CT), and proved intraperitoneal collection (by US or CT) could be managed conservatively regarding that they remain vitally and clinically stable. If failure of conservation occurs, it is usually during the 1st 24 hours after admission. 

scholarly journals A case of pericardial tamponade caused by abdominal knife stab injury

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Zhongping Cao ◽  
Keyword(s):  
Liver Injury ◽  
Pancreatic Injury ◽  
Pericardial Tamponade ◽  
Organ Injury ◽  
Gastric Injury ◽  
Abdominal Organ ◽  
Stab Injury

This paper reported a case of pericardial tamponade was caused by the blood from abdominal organ injury, which flowed through the diaphragm and pericardial holes into the pericardium, liver injury, gastric injury, pancreatic injury, diaphragmatic break were found by the following laparotomy exploration.

Aminoglycoside Combinations Versus Beta-lactams Alone for Penetrating Abdominal Trauma:

1991 ◽  
Vol 31 (8) ◽  
pp. 1155-1160 ◽  
Author(s):  
DALE K. HOOKER ◽  
JOSEPH T. DiPIRO ◽  
JAMES J. WYNN
Keyword(s):  
Abdominal Trauma ◽  
Beta Lactams ◽  
Penetrating Abdominal Trauma
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