The use of ultrasound in the evaluation of blunt thoraco-abdominal trauma is well described. Evidence for the use of ultrasound in the evaluation of penetrating cardio-thoracic and abdominal trauma, however, is more limited and varied. Current literature demonstrates that ultrasound is an excellent screening tool for penetrating thoracic and cardiac injuries with a high sensitivity for detectin...

Abdominal trauma can be mysterious to some physicians. If patients are evaluated for being stable or unstable, then abdominal trauma can be easily managed. Using a combination of physical examination, ultrasound and CT scans, patients can be quickly and efficiently evaluated.

Six years experience of blunt abdominal trauma leading to small intestine Perforation in Logh­rnan-e-Hakim Medical center. Between Sept. 1982 to Sept. 1988, 24 cases of abdominal blunt trauma leading to perforation of small intestine were managed at Loghman-e-Hakim Medical center. All the cases were treated surgically either by debridment and repair or resection and anas­tomosis, with no mortal...

Isolated duodenal injury after blunt abdominal trauma is a very rare entity. In contrast to penetrating injuries, duodenal injuries after blunt trauma are difficult to diagnose. Early diagnosis and management is required to prevent high morbidity and mortality associated with these injuries. We present three young patients of blunt abdominal trauma with an isolated injury to duodenum in which p...

INTRODUCTION Intestinal obstruction following abdominal trauma has previously been described. However, in most reported cases pathological finding was intestinal stenosis. PRESENTATION OF THE CASE A 51-year-old male was admitted after a motor vehicle accident. Initial focused abdominal sonogram for trauma and enhanced computerized tomography were normal, however there was a fracture of the ti...

a 47 years old lady presented with repeated intermittent, colicky, left upper, and periumblical abdominal pain associated with nausea and vomiting since two years prior to admission. each episode of the pain spontaneously subsided after bilious vomiting. the patient had no history of surgery, abdominal trauma or intra-abdominal infection, weight loss or previous history for small bowel obstruct...

Colonic perforation following mild abdominal trauma in patients with Crohn's disease is a rare occurrence. We present a case of a 21 year old Crohn's sufferer, who presented to the emergency department with signs of shock and peritonitis following minor abdominal trauma. A computed tomography (CT) scan revealed ascending colonic perforation and he underwent a subsequent right hemicolectomy. Thi...

OBJECTIVE To determine the point prevalence of urine bilirubin, urine hemoglobin and urobilinogen in blunt trauma patients, and to evaluate its utility as a screening tool for intra-abdominal injury. METHODS Data analysis of 986 consecutive trauma patients of which 698 were adult blunt trauma patients. Five-hundred sixteen subjects had a urinalysis and a CT scan of the abdomen/pelvis or explo...

A cute abdominal wall herniations following blunt abdominal trauma are rare despite the high prevalence of blunt trauma. In multitrauma patients, diagnosing a traumatic hernia can be challenging. We report the case of a 67-year-old woman who sustained a medial detachment of the diaphragm from the anterior portion of the abdominal wall with presternal space herniation (of her stomach and transve...

Penetrating abdominal trauma often causes bowel injuries which may lead to "short bowel syndrome" which is a potential indication for bowel transplantation. Posttraumatic pseudoaneurysms of abdominal arteries are often a result of penetrating abdominal trauma. We report a successful embolisation of posttraumatic superior mesenteric artery (SMA) branch pseudoaneurysm using microcoil, in a patien...