47 Blunt abdominal trauma is a major cause of abdominal injury in children. The liver is the second most commonly injured organ followed by the spleen1. Nonoperative management (NOM) became the main choice for hemodynamically stable patients with solid organ injury (SOI)2-4. The reported success rate of NOM in pediatrics reached up to 90%3. Adjunct arterial embolization, if indicated, increases...

INTRODUCTION Gastric emphysema or pneumatosis is a rare finding. Early endoscopy and urgent laparotomy is advised in post-trauma patients. CASE PRESENTATION A 29 year old man presented with blunt abdominal injury following a high-speed motorbike crash He complained of abdominal pain and abdomen was distended. CT abdomen revealed air in the gastric wall with disruption of gastric mucosa. He ha...

1. Lindberg DM, Shapiro RA, Blood EA, et al. Utility of hepatic transaminases in children with concern for abuse. Pediatrics. 2013;131:268-275. 2. Holmes JF, Sokolove PE, Brant WE, et al. Identification of children with intra-abdominal injuries after blunt trauma. Ann Emerg Med. 2002;39:500-509. 3. Holmes JF, Gladman A, Chang CH. Performance of abdominal ultrasonography in pediatric blunt traum...

This is a case of a 21-year-old man who presented with history of abdominal pain following blunt abdominal trauma. Although the initial ultrasound scan showed mild free peritoneal fluid, the patient was managed conservatively as a probable case of splenic injury and was discharged in satisfactory condition after 6 days of admission. He presented again 7 days later with recurring epigastric pain...

OBJECTIVE Traumatic diaphragmatic injuries are rare, but potentially life-threatening due to herniation of abdominal organs into the pleural cavities. They can be easily overlooked on initial diagnostics and a high index of suspicion is required. The aim of this retrospective study was to analyze the clinical presentation, diagnostic methods and surgical management of patients with diaphragmati...

We report a case of an isolated double gastric rupture, resulted from blunt abdominal trauma, that we successfully repaired by primary closure. A 18-month-old girl injured in a motor vehicle accident was admitted to our hospital where the plain X-ray and the CT findings revealed the presence of free abdominal air. An immediate performed exploratory laparotomy disclosed two full-thickness ruptur...

The spleen is the most commonly injured organ after blunt abdominal injury (40-55%). Most patients presented acutely with symptoms of haemodynamic instability or acute abdominal signs attributed to haemoperitoneum. Delayed splenic rupture is defined as late occurrence of symptoms and signs, in patients who experience no initial haemodynamic instability or clinical symptoms, 48 hours or more aft...

The prevalence of gallbladder injury in a traumatic event is rare, occurring only 1.9%-2.0% all abdominal traumas. Isolated injuries, without any damage to surrounding organs or tissues, are even less common. Presenting symptoms often nonspecific, and imaging modalities ultrasound (US) CT usually relied upon diagnose accurately. Identifying strategically treating cases injury, through reviewing...

Splenosis is a rare condition defined as a heterotopic auto-transplantation of splenic tissue, typically after blunt abdominal trauma. It can occur anywhere in the abdominal cavity, or even the chest. Splenosis found in clinical practice is relatively rare because most patients are asymptomatic. We report a rare case of abdominal splenosis in a 7-year-old boy, 3 years after an abdominal blunt t...

Blunt thoracic trauma can result in significant morbidity in injured patients. Both chest wall and the intrathoracic visceral injuries can lead to life-threatening complications if not anticipated and treated. Pain control, aggressive pulmonary toilet, and mechanical ventilation when necessary are the mainstays of supportive treatment. The elderly with blunt chest trauma are especially at risk ...