scholarly journals Clinical study of hollow viscus injury in abdominal trauma

2017 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Sanjay Jain ◽  
Dinkar Maske ◽  
M. C. Songra
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Female Gender ◽  
Bowel Injury ◽  
Solid Organ ◽  
Small Bowel Injury ◽  
Hollow Viscus

Background: Abdominal injury is leading cause of morbidity and mortality at present due to great improvement in man's lifestyle and development of industries.Methods: A total 100 cases of abdominal trauma (both blunt and penetrating) were studied in the present study in our institute for period of 18 Months.Results: Males belonging to young age group of 21-30 were most commonly affected. Road traffic accident is most common mode of injury. Abdominal pain seen in 93% of patients. Abdominal tenderness seen in 86% of patients. Plain x ray abdomen erect was sensitive in detecting hollow viscus injuries. Diagnostic peritoneal lavage is better than four quadrant aspirations. Ultrasound examination gives a clear picture of solid organ injury and free fluid. Most common injured viscera in the present study is small bowel and they were managed by simple suturing and closure of perforation and resection and anastomosis. Postoperative complications like wound infection, wound dehiscence, respiratory complications, pelvic abscess and faecal fistula were seen. The duration of stay for most of the patients in this study was between 11-20 days with mean of 15 days. Mortality in this study was 7%. Conditions such as, female gender, long interval between injury and operation, presence of shock on admission, and small bowel injury worsen the prognosis in penetrating abdominal trauma.Conclusions: Young males are most commonly affected due to road traffic accident. Conditions such as, female gender, long interval between injury and operation, presence of shock on admission, and small bowel injury worsen the prognosis in penetrating abdominal trauma.

scholarly journals Evaluation of the Viscus injury in Abdominal Trauma

2020 ◽  
Vol 3 (1) ◽  
pp. 56-58
Author(s):  
Nishit R Santoki ◽  
Pranjal Sangole ◽  
Gyaneshwar Rao
Keyword(s):  
Abdominal Trauma ◽  
Trauma Care ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Age Group ◽  
Hollow Viscus ◽  
Stab Injury ◽  
Diagnosis And Management ◽  
Accident Site

Background: The diagnosis of hollow viscus injury with advanced diagnostic tools and management of trauma by conservative and surgically by laparotomy and correction of anatomy. Hence such injuries are frequently overlooked leading to increased morbidity and mortality. Thus, this study is intended to throw light upon the prompt diagnosis and management of hollow viscus injuries in trauma. Hence the aim of the present research was to study the diagnosis and management of hollow viscus injuries. Subjects and Methods: A total of 100 cases were included in the study. All the patients were above the age of 11 years and maximum age of 80 years. Most of the patients included were male with ration of 4:1. After recording of history clinical examination followed by radiological, serological and operative findings were recorded. Data was analyse to study the male: female ratio, etiologies of viscous injury, investigation done and possible management for the treatment. Results: On analysis of the data, most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. The maximum of the patients belong to the age group of 2 to 30 years. Most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. Conclusion: It is mostly seen in the age group of 21-30 years which form the young and reproductive group. These patients’ measures should be taken to prevent these accidents and care of victims at the accident site. Well established trauma care centers should be established at least at every taluk hospital. Measures for early transport of the patients from the accident site to the trauma care centres to be undertaken.

Small Bowel Injury in Children after Blunt Abdominal Trauma

1996 ◽  
Vol 41 (3) ◽  
pp. 476-483 ◽  
Author(s):  
Denis D. Bensard ◽  
Bonnie L. Beaver ◽  
Gail E. Besner ◽  
Donald R. Cooney
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Bowel Injury ◽  
Small Bowel Injury

Diagnosis of isolated small bowel injury following blunt abdominal trauma

1983 ◽  
Vol 12 (2) ◽  
pp. 71-74 ◽  
Author(s):  
Richard E. Burney ◽  
George L. Mueller ◽  
William W. Coon ◽  
E.J. Thomas ◽  
James R. Mackenzie
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Bowel Injury ◽  
Small Bowel Injury

Injuries to the Stomach, Small Bowel, Colon, and Rectum

2020 ◽  
Author(s):  
Jordan A Weinberg ◽  
Timothy C. Fabian
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Operative Management ◽  
Bowel Injury ◽  
Organ Injury ◽  
Gastric Injury ◽  
Rectal Injury ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Hollow Viscus Injury

Hollow viscus injury is most often the consequence of penetrating abdominal trauma. As a result of blunt force trauma, bowel injury occurs with relative infrequency: in one multi-institutional analysis, only 1.2% of blunt trauma admissions had an associated hollow viscus injury. The diagnosis of hollow viscus injury remains a challenge in abdominal trauma patients, and subsequent evaluation is determined by the mechanism of injury. Regardless of the specific injury mechanism, however, the principles and techniques of operative management are largely the same. This review covers determination of need for operation, and operative management. Figures show algorithms outlining the evaluation of blunt hollow organ injury in a hemodynamically stable patient with an unreliable physical examination, the treatment of truncal stab wounds, the treatment of blunt bowel and mesenteric injury, the treatment of gastric injury, the treatment of small bowel injury, the treatment of colon injury, the treatment of rectosigmoid or rectal injury, and a demonstration of presacral drainage through a curved incision midway between the anus and the tip of the coccyx. Tables list the incidence of findings suggestive of blunt mesenteric and bowel injury in true positive and false positive computed tomography  scans, and the American Association for the Surgery of Trauma organ injury scales for gastrointestinal tract and pancreas.   This review contains 8 figures, 3 tables, and 58 references Keywords: Injury, blunt, primary rectal repair, colostomy, laparotomy, trauma

scholarly journals Traumatic Small Bowel Injury: A Diagnosis Challenge

2021 ◽  
Vol 16 (2) ◽  
pp. 295-300
Author(s):  
Syed Abdul Kader Mohamed Saleem ◽  
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Rare Complication ◽  
Bowel Injury ◽  
Free Fluid ◽  
Small Bowel Injury ◽  
Bowel Ischaemia ◽  
High Level

Traumatic small bowel injury is rare complication following a blunt abdominal trauma. We encountered a case of small bowel injury following a motor vehicle accident that was initially missed during the first presentation due to unremarkable findings in examination. Patient re-presented five days later with bowel ischaemia and was managed accordingly. It is a challenge in diagnosing the injury due to its vague presentation. The usage of Focused Assessment with Sonography for Trauma (FAST) scan as a screening tool in Emergency Department to pick up intra-abdominal injury do have limitations especially in diagnosing small bowel perforation post blunt abdominal trauma. The early phase of small bowel injury post blunt abdominal trauma rarely produces significant free fluid during the FAST scan. It is paramount for the emergency doctors to have a high level of suspicion in high risk cases to provide early supportive treatment and early referral to surgical team. If left undiagnosed bowel ischaemia may lead to catastrophic complication affecting the patient’s morbidity and mortality. In conclusion, each case should be managed and risk stratify individually. Computed tomography abdomen is found to be more superior in detecting bowel injuries, hence, and investigation of choice compared to bedside ultrasonograpy in cases with high level of suspicaion.

scholarly journals Small Bowel Injury in Peritoneal Encapsulation following Penetrating Abdominal Trauma

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
K. Naidoo ◽  
S. Mewa Kinoo ◽  
B. Singh
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Bowel Injury ◽  
Rare Entity ◽  
Small Bowel Injury ◽  
Abdominal Cocoon ◽  
Penetrating Abdominal Trauma ◽  
First Case ◽  
Peritoneal Encapsulation ◽  
Encapsulating Peritonitis

Small bowel encapsulation is a rare entity which is usually found incidentally at autopsy. We report the first case of peritoneal encapsulation encountered serendipitously at laparotomy undertaken for penetrating abdominal trauma and review the literature on peritoneal encapsulation. We also compare this phenomenon to abdominal cocoon and sclerosing encapsulating peritonitis.

scholarly journals The Role of Computed Tomography in Blunt Abdominal Trauma

2015 ◽  
Vol 53 (200) ◽  
pp. 227-230
Author(s):  
Om Bahadur Karki
Keyword(s):  
Computed Tomography ◽  
Positive Predictive Value ◽  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Predictive Value ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Common Mechanism

Introduction: Blunt injury trauma is regularly encountered in the emergency department. Diagnostic tools that help in optimum management of blunt abdominal trauma include; Focussed Assessment Sonography for Trauma scan, Diagnostic peritoneal lavage and Computed Tomography scan. The aim of this study is to determine the validity of CT scan as an accurate diagnostic tool and its role in management of patients with blunt abdominal trauma. Methods: A prospective analysis of 80 patients of blunt abdomen trauma who were admitted in Manipal Teaching Hospital, Pokhara, Nepal within a span of 15 months was done. Demographic data, mechanism of trauma, management and outcomes were studied. Organ injuries were graded using the Organ Injury Scale guidelines. Results: Most of the patients in our study were in the age group of 21-40 years with an M: F ratio of 2.3:1. Road traffic accident (47.5%) was the most common mechanism of injury. Spleen (27.5%) was the commonest organ injured. CT scan was superior to FAST scan and had sensitivity of 97.3% specificity 75% positive predictive value 98.6%. FAST scan had sensitivity of 78.9%, specificity 50%, positive predictive value 96% with p- value of 0.0034. 81% of patients were conservatively managed. Conclusions: In conjunction with close clinical monitoring, CT scan is reliable in the evaluation and management of blunt abdominal trauma patients. Our study also shows CT as a superior diagnostic modality compared to FAST scan. Keywords: blunt abdominal trauma; CT scan; FAST scan; road traffic accident.

scholarly journals Gastric rupture following blunt abdominal trauma: a case report

2019 ◽  
Vol 6 (10) ◽  
pp. 3869
Author(s):  
Kritika Tiwari ◽  
Anuja Athale ◽  
Siddhartha K.
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Gastric Perforation ◽  
Abdominal Injuries ◽  
Concomitant Injuries ◽  
Severity Of Injury ◽  
Gastric Rupture

Gastric perforations following blunt abdominal trauma are rare, accounting for <2% of all blunt abdominal injuries. This is usually associated with other solid visceral injuries. Isolated blunt gastric ruptures are very rare. Severity of injury, timing of presentation and presentation following last meal as well as concomitant injuries are important prognostic factors. We present a patient with gastric perforation following road traffic accident.

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