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-sten...

Blunt abdominal aortic injury is an infrequent occurrence after blunt trauma. The majority of these injuries result from deceleration forces sustained in motor vehicle collisions. Effects of these forces on the thoracic aorta are well described, but associated spinal compression or distraction can also lead to injury of the affixed abdominal aorta. We present a case of multifocal blunt thoracic...

Liver injury secondary to blunt abdominal trauma is a well-defined entity in emergency medicine. A challenge exists in the diagnosis of liver trauma in the stable, wellappearing patient with a history of blunt abdominal trauma. In centres lacking advanced diagnostic modalities an elevation in hepatic transaminases may provide guidance for the rural emergency physician in seeking further imaging...

Background Sonography has played an important role on detection of intraabdominal injuries with a sensitivity of 86%, a specificity of 98%, and an accuracy of 97% [1]. Negative predictive value achieved about 98% [1]. However, gallbladder injury is rare with incidence around 2.1% [2,3] in blunt abdominal trauma [2], and commonly associated with the solid organ injury or abdominal vascular injur...

BACKGROUND The frequency of bowel and mesenteric injuries is increasing. They are difficult to diagnose and delays in their diagnosis leads to a significantly increased morbidity and mortality. The aim of this study is to evaluate the usefulness of the computed tomography (CT) in the detection of blunt bowel and mesenteric injuries. METHOD Between January 2000 and October 2007, 79 patients wi...

Background: Abdominal injuries are increasing globally. The incidence in our environment is increasing because of crime, insurgencies and man-made disasters. Assessing the magnitude will help in proffering measures to reduce the incidence, and also improve management. Therefore, the aim was to determine the pattern of abdominal trauma, aetiology, identify commonly injured organs, as well as eva...

Traumatic injury to the extrahepatic biliary system is rare and usually diagnosed at laparotomy when it is associated with other visceral injuries. Isolated gallbladder rupture due to blunt abdominal trauma is even rarer. The clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. Awareness to the possibility of trauma to the extrahepatic biliar...

Received May 2007 Accepted August 2007 INTRODUCTION Pseudoaneurysms of the renal artery occur most commonly after a penetrating trauma or as a complication of some renal interventional procedures such as kidney biopsy, percutaneous nephrostomy, and open or endoscopic surgeries on the kidney; however, their occurrence after blunt abdominal trauma is rare.(1) The average interval between injury a...

Mechanism of direct blunt renal trauma. An external force (F,) may crush the kidney (K) between the 12th rib and the vertebral column, or a force (F2) may crush the kidney against the paravertebral muscles (quadratus lumborum (QL) or psoas major (in position P but deleted from diagram). In the United Kingdom over 90% of renal injuries are a result of blunt abdominal trauma. Important associated...

BACKGROUND Trauma is the leading cause of childhood morbidity and mortality. Abdominal bleeding is one of the common causes of mortality due to trauma. Angiography and embolization are well recognized as the primary treatments in certain cases of acute traumatic hemorrhage in adults; however, evidence is lacking in the pediatric population. OBJECTIVES To assess the safety and efficacy of tran...