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...

Increasing evidence supports a role for contrast-enhanced ultrasound in the assessment of blunt abdominal trauma. Accurate definition of organ injury can be demonstrated, as well as extension to solid organ capsule and even vascular injury. Low-dose contrast is needed for renal imaging, to avoid obscuration of deeper structures from intense cortical enhancement. The liver should be evaluated in...

conclusions it seems that fast examination for intra-abdominal fluid in blunt trauma patients can predict intra-abdominal injuries with very high sensitivity and specificity. using the scoring system can more accurately determine the probability of the presence of abdominal injuries with a cut-off point of three. results the mean age of the patients was 29.6 ± 18.3 years and fast was positive i...

conclusions the loss of hrc at the onset of admission may predict mortality in patients with blunt trauma. lower entropy, in recently admitted patients with intra-abdominal bleeding, may indicate laparotomy when the vital signs are stable. background nonlinear analysis of heart rate variability (hrv) has been recently used as a predictor of prognosis in trauma patients. objectives we applied no...

Whereas a non-operative approach for hemodynamically stable patients with free intraabdominal fluid in the presence of solid organ injury is generally accepted, the presence of free fluid in the abdomen without evidence of solid organ injury not only presents a challenge for the treating emergency physician but also for the surgeon in charge. Despite recent advances in imaging modalities, with ...

background isolated small gut mesentery injury after blunt abdominal trauma from the steering wheel in road traffic accidents is rare. these are always challenging to diagnose and pose a diagnostic dilemma. objectives to study the pattern of small gut mesenteric injury by steering wheel blunt abdominal trauma in road traffic accidents in patients who had laparotomy. patients and methods a 10-ye...