OBJECTIVE To determine the point prevalence of urine bilirubin, urine hemoglobin and urobilinogen in blunt trauma patients, and to evaluate its utility as a screening tool for intra-abdominal injury. METHODS Data analysis of 986 consecutive trauma patients of which 698 were adult blunt trauma patients. Five-hundred sixteen subjects had a urinalysis and a CT scan of the abdomen/pelvis or explo...

Abdominal compartment syndrome (ACS) occurs when increasing intra abdominal-pressure (IAP) reduces blood flow to abdominal organs. This results in impairment of pulmonary, cardiovascular, renal, hepatic, central nervous system and gastro-intestinal (gi) function, causing multiple organ dysfunction syndrome and death. The significant prognostic value of elevated intra-abdominal pressure has prom...

The risk of moderate or serious abdominal injury is higher for belted drivers in frontal crashes with a deployed airbag than for belted drivers not exposed to a deployed airbag. An analysis of roughly 13,000 belted front seat occupants in frontal crashes from National Automotive Sampling System / Crashworthiness Data System (NASS/CDS) case years 1993-2007 with and without airbag deployment were...

Complications arising from lumbar intervertebral disc surgery are rare but fatal. Major vascular injury is one complication that may end in death unless it is diagnosed and treated immediately. Herein we report an abdominal aortic injury due to L3-L4 intervertebral disc surgery that was treated successfully and discuss it in light of current literature. Diagnosis and treatment of an abdominal a...

The use of ultrasound in the evaluation of blunt thoraco-abdominal trauma is well described. Evidence for the use of ultrasound in the evaluation of penetrating cardio-thoracic and abdominal trauma, however, is more limited and varied. Current literature demonstrates that ultrasound is an excellent screening tool for penetrating thoracic and cardiac injuries with a high sensitivity for detectin...

Handlebar hernias are abdominal wall hernias resulting from direct trauma to the anterior abdominal wall and also called as Traumatic abdominal wall hernias (TAWHs). They usually occur at weak anatomic locations of the abdominal wall .The associated intra-abdominal injuries are infrequent. . Such traumatic hernias are rare. We report this case of a handlebar hernia resulting from an injury sust...

Blunt trauma to the abdomen accounts for the majority of abdominal injuries in children. Pancreatic injury is the fourth most common solid organ injury, following injuries to the spleen, liver and kidneys [1]. Pancreatic injury is a rare but severe complication occurring in 2-5% of blunt abdominal traumas. It is most often caused by compression of the gland against the lumbar part of the verteb...