BACKGROUND The reported incidence of hollow viscus injuries (HVI) in blunt trauma patients is approximately 1%. The most common site of injury to the intestine in blunt abdominal trauma (BAT) is the small bowel followed by colon, with mesenteric injuries occurring three times more commonly than bowel injuries. Isolated colon injury is a rarely encountered condition. Clinical assessment alone in...

introduction extra-hepatic bile duct injuries in children following blunt abdominal trauma are rare; early diagnosis and treatment are imperative for a good outcome. the purpose of this report is to describe the management of problems encountered in children with bile duct injuries following blunt abdominal trauma. case presentation a three year-old girl presented with obstructive jaundice and ...

INTRODUCTION The difficulties in the management of the blunt chest wall trauma patient in the Emergency Department due to the development of late complications are well recognised in the literature. Pre-injury anti-platelet therapy has been previously investigated as a risk factor for poor outcomes following traumatic head injury, but not in the blunt chest wall trauma patient cohort. The aim o...

PURPOSE To evaluate the diagnostic value of ultrasonography (US) in detecting intraabdominal injuries in patients with blunt abdominal trauma. MATERIALS AND METHODS Blunt trauma patients admitted to the emergency department from January 2002 to August 2003 were retrospectively evaluated. A total of 454 patients with blunt abdominal trauma who underwent US examination were included. Ultrasonog...

Sharp trocar insertion for laparoscopic procedures carries with it increased risk for vascular and visceral complications and incisional hernia. In a trial, which randomized 87 patients to treatment with either sharp trocars or a radially expanding needle system with blunt dilator, results showed that with the latter system there was statistically improved patient assessment of pain, a lower co...

OBJECTIVE Though a number of CT findings of bowel and mesenteric injuries in blunt abdominal trauma are described in literature, no studies on the specific CT signs of a transected bowel have been published. In the present study we describe the incidence and new CT signs of bowel transection in blunt abdominal trauma. MATERIALS AND METHODS We investigated the incidence of bowel transection in...

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 had ...

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...

Background Currently, almost all patients with probable abdominal injury undergo urinalysis in emergency department (ED). The present survey was conducted with the aim of assessing the diagnostic values of urinalysis compare with abdominal computed tomography (CT) scan with contrast for predicting possible intra-abdominal injuries in children affected by blunt trauma. Materials and Methods: The...

Biliarycutaneous fistula (BCF) is a rare complication of blunt abdominal trauma. Although, many techniques have been developed so far, management of BCF still remains an extremely challenging procedure. Management of biliarycutaneous fistula requires a complex approach and collaboration of varying medical specialists. Poor general condition of the patient complicated with sepsis, past history o...