scholarly journals Isolated damage to the gallbladder in blunt trauma of the abdominal cavity

1981 ◽  
Vol 62 (5) ◽  
pp. 68-68
Author(s):  
V. P. Sukhodolov
Keyword(s):  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Abdominal Cavity ◽  
Ambulance Service ◽  
Internal Organs ◽  
Alcoholic Intoxication ◽  
The Right

We present two observations of isolated damage to the gallbladder in blunt abdominal trauma. 1. K., 24 years old, fell out of the 5th floor window. Delivered to the trauma department in 30 minutes by the ambulance service with a diagnosis of blunt trauma to the abdomen with damage to internal organs: Fracture of the right hip; alcoholic intoxication.

scholarly journals Post-traumatic rupture of the right ovary and liver after blunt abdominal trauma: A case report

2020 ◽  
Vol 66 ◽  
pp. 85-87
Author(s):  
Panagiota Xaplanteri ◽  
Nada Zacharis ◽  
Charalampos Potsios ◽  
Georgios Zacharis
Keyword(s):  
Case Report ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Traumatic Rupture ◽  
Post Traumatic ◽  
The Right

scholarly journals Severe Spasm of the Renal Artery after Blunt Abdominal Trauma Simulating End-Organ Infarction

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Adem Ucar ◽  
Aghakishi Yahyayev ◽  
Ayaz Agayev ◽  
Fatih Yanar ◽  
Selim Bakan ◽  
...  
Keyword(s):  
Renal Artery ◽  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Arterial Occlusion ◽  
Endovascular Intervention ◽  
Surgical Revascularization ◽  
Injury Management ◽  
Main Renal Artery ◽  
Serious Injury

Traumatic occlusion of the renal artery is a serious injury. Management differs according to the grade of injury. In most circumstances, emergency surgical revascularization or endovascular intervention is required. We describe the case of a child with multiorgan injuries and spasm of the main renal artery after blunt trauma simulating arterial occlusion or end-organ infarction.

scholarly journals The spectrum and outcome of blunt trauma related enteric hollow visceral injury

2018 ◽  
Vol 100 (4) ◽  
pp. 290-294 ◽  
Author(s):  
W Bekker ◽  
VY Kong ◽  
GL Laing ◽  
JL Bruce ◽  
V Manchev ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Delayed Diagnosis ◽  
Free Fluid ◽  
Visceral Injury ◽  
X Ray ◽  
Median Delay ◽  
Chest X Ray ◽  
Hollow Visceral Injury

Introduction This audit focused on patients who sustained enteric injury following blunt abdominal trauma. Methods Our prospectively maintained electronic registry was interrogated retrospectively, and all patients who had sustained blunt abdominal trauma between December 2011 and January 2016 were identified. Results Overall, 2,045 patients had sustained blunt abdominal trauma during the period under review. Seventy per cent were male. The median age was 28 years. Sixty patients (2.9%) sustained a small bowel injury (SBI). Thirty-five of these were peritonitic on presentation. All patients with a SBI had a chest x-ray and free air was present in seven. In 18 patients with a SBI, computed tomography (CT) was performed, which revealed isolated free fluid in 12 and free intraperitoneal air in 5. In five cases, the CT was normal. A total of 32 patients (1.5%) sustained blunt duodenal trauma (BDT). All patients with BDT had a chest x-ray on presentation. Free intraperitoneal air was not present in any. CT was performed on 17 patients with BDT. This revealed isolated free fluid or retroperitoneal air in 12. The median delay between injury and presentation for these enteric injures was 15.5 hours (interquartile range [IQR]: 8–25 hours) while between presentation at hospital and operation, the median delay was 6 hours (IQR: 3–13 hours). Conclusions Blunt trauma related enteric hollow visceral injury remains associated with delayed diagnosis and significant morbidity. It can be caused by a disparate array of mechanisms and is difficult to diagnose even with modern imaging strategies.

scholarly journals Free Fluid Accumulation following Blunt Abdominal Trauma: Potential for Expansion of the Fast Protocol

2009 ◽  
Vol 16 (2) ◽  
pp. 70-75
Author(s):  
N Simpson ◽  
P Page ◽  
DM Taylor
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Peritoneal Fluid ◽  
Injury Severity ◽  
Iliac Fossa ◽  
Fluid Collection ◽  
Rectus Muscle ◽  
Ct Scans ◽  
Free Fluid ◽  
The Right

Objective To determine sites of free intra-peritoneal fluid collection following blunt abdominal trauma, with a view to refinement of the Focused Assessment by Sonography for Trauma (FAST) protocol. Methods This was a retrospective observational study of CT scans of subjects who had suffered blunt abdominal trauma and had free intra-peritoneal fluid detected on CT scan within 24 hours. The depth from the skin and amount of fluid at 14 abdominal sites were determined. Results CT scans of 105 patients were examined: 68 (64.8%) were male, mean age 36.7±18.4 years, mean injury severity score 25.4±11.6. Fluid collected most commonly at three sites: right mid-axillary line at the level of the xiphisternum (52 patients, 49.5%), lateral margin of the right rectus muscle at the level of the anterior superior iliac spine (49 patients, 46.7%) and right mid-axillary line at the level of the umbilicus (40 patients, 38.1%). Mean depth of fluid at these sites were 3.6, 3.6 and 4.2 cm, respectively. Conclusions Free fluid collects commonly in the area of the right iliac fossa following blunt abdominal trauma. The inclusion of this site in the FAST protocol may increase the ultrasonographic detection of free fluid in the acute trauma setting.

scholarly journals Epidemiology and injury pattern in blunt trauma abdomen in pediatric population: a two-year experience in a tertiary care institute of Kashmir, India

2018 ◽  
Vol 5 (11) ◽  
pp. 3713
Author(s):  
Arshid Iqbal Qadri ◽  
Younis Ahmad ◽  
Gowhar Aziz Bhat ◽  
Aamir A. Khan ◽  
Khalid Bashir
Keyword(s):  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Predictive Value ◽  
Road Traffic ◽  
Pediatric Population ◽  
Tertiary Care ◽  
Pediatric Trauma ◽  
Injury Pattern ◽  
Trauma Patients

Background: Blunt abdominal trauma is a frequent cause for presentation of children to the Emergency Department. Children are prone to sustain injuries to intra-abdominal organs after blunt abdominal trauma because of their peculiar body habitus and relatively immature musculoskeletal system. Objectives of this study is to assess the various epidemiological parameters that influences the causation of trauma as well as injury pattern in blunt trauma abdomen in pediatric population.Methods: The present observational hospital based prospective study was carried out in 96 blunt abdominal trauma patients of both sexes aged up to 12 years, over a period of 2 years. The parameters such as age group, sex, mode of trauma, type of injury, and the overall mortality as well as mortality were assessed.Results: The most common mode of injury was road traffic accidents (54.2%) followed by fall from height (41.70%). Splenic injury was the most common in 58.30%, followed by hepatic injuries 34.40% and renal injuries 12.50 %. The accuracy of ultrasonography (USG) was 83.33% while accuracy of computed tomography (CECT) as a diagnostic test was 93.33%. When comparing USG findings with operative findings sensitivity of USG was 88% with positive predictive value (PPV) of 91.66% while as specificity was 60% with negative predictive value (NPV) of 50%. Sensitivity of CT scan was 96.00% with PPV of 96.00% and specificity of CECT scan was 80.00% with NPV of 80.00%.Conclusions: The majority of pediatric injuries are preventable by knowing the epidemiology and pattern of pediatric trauma.

scholarly journals Post blunt trauma abdomen transvaginal omental evisceration: a rare case report

2021 ◽  
Vol 8 (7) ◽  
pp. 2203
Author(s):  
Mallikarjun Bhingare ◽  
Anant Beedkar ◽  
Pankaj Vairagad ◽  
Dhanashree Lahane
Keyword(s):  
Case Report ◽  
Postmenopausal Women ◽  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Rare Case ◽  
Premenopausal Women ◽  
Vaginal Evisceration ◽  
Surgical Emergency ◽  
Rare Case Report

Vaginal evisceration is a surgical emergency. It's a rare but potentially fatal disorder. Only a few examples of transvaginal omental evisceration have been reported worldwide, however no evidence of post-trauma abdominal evisceration has been found. Vaginal evisceration in premenopausal women has been recorded infrequently compared to postmenopausal women and it has been linked to sexual and obstetric trauma. We presented a case of a premenarchal female who came with transvaginal omental evisceration after a blunt abdominal trauma and discussed the treatment choices for this uncommon surgical emergency.

scholarly journals Ureteral rupture after blunt abdominal trauma in a child with unknown horseshoe kidney

2015 ◽  
Vol 37 (2) ◽  
Author(s):  
Arianna Mariotto ◽  
Nicola Zampieri ◽  
Mariangela Cecchetto ◽  
Francesco Saverio Camoglio
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Horseshoe Kidney ◽  
Standard Of Care ◽  
Renal Lesion ◽  
Safe Procedure ◽  
Double J Stent ◽  
The Right ◽  
Ureteral Rupture ◽  
Non Surgical Treatment

More than 90% of renal injuries in children result from blunt abdominal trauma. A 10-year-old female had a blunt abdominal trauma with macro-hematuria. The computed tomography scan revealed the presence of a horseshoe kidney and a 3rd grade renal lesion and contrast leakage from the right ureter. The ureteral rupture was confirmed by cystoscopy and ascendant pyelography and than a double J-stent was implanted. The stent was removed one month later. Non-surgical management has become the standard of care for both ureteral and renal lesions in children. Non-surgical treatment is a safe procedure for renal trauma with ureteral rupture in children.

scholarly journals Floating appendix: post-traumatic amputation of the appendix as sequela or complication?: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kanika Sharma ◽  
Shreya Tomar ◽  
Shilpa Sharma ◽  
Minu Bajpai
Keyword(s):  
Case Report ◽  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Oral Intake ◽  
Emergency Laparotomy ◽  
Unusual Complication ◽  
Delayed Presentation ◽  
Second Surgery ◽  
Remote Event

Abstract Background Appendicitis following trauma is a well-documented sequela of blunt trauma to the abdomen, while appendiceal transection following trauma is extremely rare. Literature reports have documented appendicitis and appendiceal transection as the presenting pathology in a trauma setting. This is first report of auto-amputation of the appendix as a delayed presentation with peritonitis, which was detected during the second surgery in a child with blunt abdominal trauma. Case presentation A 11-year-old Asian boy presented to our center with a 2-day history of blunt abdominal trauma and chief complaint of severe abdominal pain. On evaluation, a computed tomography scan showed gross pneumoperitoneum. The child underwent emergency laparotomy, where a jejunal perforation was noted, which was repaired. The rest of the bowel and solid organs were healthy. The child was managed in the intensive care unit postoperatively, when he developed a burst abdomen. During the second surgery, pyoperitoneum and free-floating appendix were found in the left paracolic gutter. After peritoneal wash, the bowel was noted to be healthy and the previous jejunal repair was intact. The child was allowed oral intake of food and discharged on postoperative days 4 and 8, respectively. At the 1-year follow-up, he remained asymptomatic. Conclusions This case report is unique as it describes auto-amputation of the appendix as a delayed event in the course of treatment for blunt trauma of the abdomen. Although a remote event, the possibility of amputation of the appendix should be retained as a differential diagnosis and unusual complication in cases of delayed peritonitis.

scholarly journals Diagnostic laparoscopy in blunt abdominal trauma

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Tư Hoàng lê ◽  
Tiến Thành Nguyễn
Keyword(s):  
Laparoscopic Surgery ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnostic Laparoscopy ◽  
Diagnostic Method ◽  
Abdominal Cavity ◽  
Descriptive Study ◽  
Associated Lesions ◽  
Laparoscopy Surgery ◽  
Multiple Traumas

Tóm tắt Đặt vấn đề: Chấn thương bụng kín (CTBK) rất khó chẩn đoán. Phẫu thuật nội soi (PTNS) nhìn rõ tổn thương có thể điều trị, liệu có thể là biện pháp chẩn đoán hỗ trợ trong cấp cứu? Phương pháp nghiên cứu: Nghiên cứu tiến cứu, các người bệnh (NB) bị CTBK khó chẩn đoán được ứng dụng PTNS chẩn đoán. Kết quả: 34 NB bị CTBK được ứng dụng PTNS để chẩn đoán. 73,5% có chấn thương phối hợp, 47% có tổn thương 2 tạng trở lên trong ổ bụng. 26 NB (76,5%) được chỉ định nội soi ổ bụng (NSOB) thăm dò chẩn đoán. 8 NB (23,5%) cần loại trừ tổn thương phối hợp. PTNS phát hiện được hết các tổn thương nhất là tổn thương tạng rỗng, mạc treo trừ tổn thương tạng đặc nhỏ sâu trong nhu mô và sau phúc mạc. Không có biến chứng do PTNS chẩn đoán gây ra. Kết luận: PTNS là biện pháp chẩn đoán xâm lấn tối thiểu có thể chẩn đoán an toàn, chính xác tổn thương trong ổ bụng ở NB bị CTBK. Ngoài ra có thể sửa chữa những tổn thương không quá phức tạp. Abstract Introduction: Diagnosis of blunt abdominal trauma (BAT) is challenging. Laparoscopy surgery allows us to see the lesions clearly for proper treatment, assist - it as a diagnostic method in emergency? Materials and Methods: Perspective descriptive study for all patients with BAT, very difficulty in diagnosis, were operated laparoscopically for this purpose. Results: Diagnostic laparoscopy was carried out in 34 BAT. 73,5% of patients had multiple traumas, 47% had more 1 injured organs in abdominal cavity. 26 patients (76,5%) was indicated to laparoscopic surgery for diagnosis purpose. It is necessery to exclude the associated lesions in 8 patiens (23,5%). Almost lesions were detected by laparoscopic surgery such lesions of hollow viscera, mesenteric lesions excepted the small lesions located deeply in parenchyme of solid viscera or retroperitoneal. No complication due to diagnostic laparoscopy occurred . Conclusion: Laparoscopic surgery is a minimally invasive, safe and accurate diagnostic approach for BAT. It also can repair the simple lesions during operation. Keywords: Diagnostic laparoscopy, abdominal trauma.

scholarly journals The role of laparoscopy in optimization of blunt abdominal trauma treatment in children and adolescents

2020 ◽  
pp. 52-54
Author(s):  
A. N. Shapkina ◽  
M. V. Kozlova
Keyword(s):  
Children And Adolescents ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Fatal Outcome ◽  
Trauma Treatment ◽  
Internal Organs ◽  
Study Objective ◽  
Massive Blood Loss ◽  
Results Of Treatment

Objective. The study objective is to analyze the results of blunt abdominal trauma treatment in children and adolescents with an emphasis on the possibilities of minimally invasive surgery.Methods: The results of treatment of 129 patients aged from 3 to 17 with injured internal organs due to blunt abdominal trauma were retrospectively analyzed.Results: Medical therapy was effective in 74.6% of cases. Surgery was limited to a laparoscopy access in 13 cases (10.7%), open surgery was required to 18 patients (14.7%). One fatal outcome associated with the massive blood loss was registered.Conclusions: The algorithm of treatment of blunt abdominal traumas, used over the last years and including laparoscopy in hemodynamically stable patients, allowed avoiding laparotomy in 85.3% of cases. 

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