methods multidetector ct-scan and explorative laparotomy of the patients with blunt abdominal trauma were assessed retrospectively. characteristics of the injuries were categorized on the basis of the american association for the surgery of trauma (aast) grading system and the findings were analyzed using kappa test. results the findings of 35 patients were analyzed. according to the kappa test...

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...

Blunt trauma resulting in rib fractures can be associated with hemothorax, pneumothorax, pulmonary contusions or less frequently chest and abdominal wall hematomas. Our case describes the first report of hemoperitoneum secondary to intercostal arterial bleeding from blunt trauma in a patient on anticoagulation.

BACKGROUND The management of abdominal trauma (particularly blunt trauma) has undergone tremendous revolution in the last 30 years with significant reduction in morbidity and mortality in developed countries. The aim of this report is to highlight the challenges of managing abdominal trauma in children in Nigeria based on our experience in Zaria, northern Nigeria. METHOD This is a retrospecti...

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...

Blunt liver trauma is the most dangerous and the second most frequent solid organ trauma that occurs in the abdominal cavity. Management of this life-threatening situation remains a significant challenge. The present study identified that the patterns of blunt liver trauma were closely correlated with the characteristics of the blunt force. Illustrations of findings from this study have been in...

CONTEXT Pancreatic injuries after blunt abdominal trauma could result in significant morbidity, and even mortality if missed. OBJECTIVE Our aim was to review our institution's experience with blunt pancreatic trauma. SETTING Our study included all cases of blunt traumatic pancreatic injuries. PATIENTS Sixteen patients (median age 41 years; range: 18-60 years) were treated for blunt pancre...

Blunt thoracic trauma can result in significant morbidity in injured patients. Both chest wall and the intrathoracic visceral injuries can lead to life-threatening complications if not anticipated and treated. Pain control, aggressive pulmonary toilet, and mechanical ventilation when necessary are the mainstays of supportive treatment. The elderly with blunt chest trauma are especially at risk ...

To determine the roles of diagnostic peritoneal lavage (DPL) and abdominal computed tomography (CT) in the evaluation of blunt abdominal trauma, we compared our results in the eras before and after the advent of abdominal CT. In the pre-CT era 1977 to 1980 (group 1; 365 patients), DPL was the diagnostic procedure of choice. In the CT era 1983 to 1986 (group 2; 282 patients), DPL was used for un...

1. Lindberg DM, Shapiro RA, Blood EA, et al. Utility of hepatic transaminases in children with concern for abuse. Pediatrics. 2013;131:268-275. 2. Holmes JF, Sokolove PE, Brant WE, et al. Identification of children with intra-abdominal injuries after blunt trauma. Ann Emerg Med. 2002;39:500-509. 3. Holmes JF, Gladman A, Chang CH. Performance of abdominal ultrasonography in pediatric blunt traum...