Background: The appropriate treatment for patients with blunt abdominal trauma depends on the precise diagnosis of presence and severity intra-abdominal injuries. Laparotomy, however, has remained management choice in certain situations following such as who have free intraperitoneal fluid uncertain origin, signs indicating intestinal ischemia caused by mesenteric bleeding, hollow viscus perfor...

Abdominal pain is one of the most common presenting complaints at the Emergency Department (ED). Given the myriad of possible differential diagnoses for abdominal pain, it becomes more important to diagnose conditions requiring emergent surgical intervention early. We present a case of an elderly male patient with abdominal pain secondary to perforated hollow viscus, subtle evidence of pneumore...

An 8 year-old-boy was referred because of abdominal pain 24 hours after being hoof-kicked by a horse in the abdominal wall. On arrival the boy appeared ill, with nausea and vomiting and right abdominal pain. Physical examination revealed epigastric tenderness with muscle guarding in the upper abdominal wall. Because of persistent pain CT was performed and further revealed a very small amount of...

Tissue engineering has emerged at the intersection of numerous disciplines to meet a global clinical need for technologies to promote the regeneration of functional living tissues and organs. The complexity of many tissues and organs, coupled with confounding factors that may be associated with the injury or disease underlying the need for repair, is a challenge to traditional engineering appro...

Enteric fistulae result from gastrointestinal perforations in which communication is established between the site of perforation and another hollow viscus, potential space, or skin surface. Certain types of enteric fistulae are difficult to demonstrate by conventional radiographic methods, and CT is unique in its ability to demonstrate the extent and nature of extraluminal changes. The purpose ...

Diagnostic peritoneal lavage (DPL) is a highly accurate test for evaluating intraperitoneal hemorrhage or a ruptured hollow viscus, but is performed less frequently today due to the increased use of focused abdominal sonography for trauma (FAST) and helical computed tomography (CT). All three of these exams have advantages and disadvantages and thus each still play unique roles in the evaluatio...

The most common cause of a pneumoperitoneum is a perforation of a hollow viscus and the treatment is an exploratory laparotomy; nevertheless, not all pneumoperitoneums are due to a perforation and not all of them need surgical intervention. We hereby present a case of pneumoperitoneum due to a diaphragmatic defect, which allowed air from a pneumothorax to escape through the diaphragmatic hernia...

Background: Blunt abdominal trauma results in injury to the bowel and mesenteries 3—5% of cases. The injuries arepolymorphic including hematoma, seromuscular tear, perforation, ischemia. They preferentially involve smallbowel may result bleeding and/or peritonitis. main diagnostic challenge is promptly correctly identifyinjuries that require surgical repair.Objectives: To study incidence, manag...