Trauma is the leading cause of death in children older than 1 year of age and blunt trauma is the most common mechanism. The spleen and liver account for approximately 70% of all visceral injuries caused by blunt trauma, by far the most commonly injured intra-abdominal organs.1 Injury severity of spleen and liver injury is graded by the American Association for the Surgery of Trauma injury scor...

Background: Pancreaticoduodenal injuries are considerably associated with high morbidity and mortality due to delayed diagnosis subsequent delay in treatment. This makes the treatment of these challenging. We have studied presentation, diagnosis, management outcome complex injuries. Methods: A prospective observational study was done at general surgery department, Government medical college Nag...

H l i u a solated blunt abdominal trauma (BAT) represents about 5% of annual trauma mortality from blunt trauma. As part f multiple-site injury (polytrauma), BAT contributes anther 15% of trauma mortality.1 Exsanguination accounts for 0 to 90% of acute deaths from abdominal injury. More than 5% of such cases are amenable to surgery, and recent years ave seen safe extension of nonoperative, imag...

BACKGROUND A chronic iliac arterial pseudoaneurysm caused by blunt trauma is very rare. CASE PRESENTATION The patient had gunshot wound in the right thigh and blunt trauma 40 years earlier. An abdominal computed tomography revealed the presence of a right iliac arterial pseudoaneurysm, and we successfully treated the pseudoaneurysm by resection and in situ reconstruction with a bifurcated vas...

Small bowel perforation from blunt abdominal trauma is a common injury. Isolated perforation of the small bowel after blunt abdominal trauma is infrequent and the diagnosis can be elusive. A case of isolated perforation from blunt trauma is presented. Deterioration of the clinical picture raised suspicion of acute abdomen, perforated sore. If acute abdomen is the case even with a history of min...

In the pediatric patient, traumatic injury is the leading cause of death and blunt trauma is themost commonmechanism of injury. Renal injuries account for 8 to 12% of pediatric blunt abdominal injuries. Children, more so than adults, are prone to sustain major renal injury due to blunt trauma given the relatively large size of pediatric kidneys and decreased protection in children.1–3 The prima...

Cardiac contusions (contusio cordis) usually appear in penetrating thoracic trauma or high energy blunt trauma and only rarely in thoracic blunt trauma in homicidal context. The diagnosis could be easy if a traumatic context is/can be proven; if not the differential diagnosis with myocardial infarction, other causes of cardiac hemorrhages or post resuscitation cardiac trauma can be very difficu...

BACKGROUND Blunt hollow viscus injury (HVI) is uncommon. No sufficiently large series has studied the prevalence of these injuries in blunt trauma patients. This study defines the prevalence of blunt HVI, in addition to the associated morbidity and mortality rates for this diagnosis on the basis of a series of over 275,000 trauma admissions. METHODS Patients with blunt small bowel injury (SBI...

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...

BACKGROUND Securing high-quality mortality statistics requires systematic evaluation of all trauma deaths. We examined the proportion of trauma patients dying within 30 days from causes not related to the injury and the impact of exclusion of patients dead on arrival on 30-day trauma mortality. We also defined the demographics, injury characteristics, cause of death and time to death in patient...