BACKGROUND Renal trauma in the pediatric population is predominately due to blunt mechanism of injury. Our purpose was to determine the associated injuries, features, incidence, management, and outcomes of kidney injuries resulting from blunt trauma in the pediatric population in a single level I trauma center. METHODS This was a retrospective chart and trauma registry review of all pediatric...

BACKGROUND How should the stable patient with penetrating abdominal or lower chest trauma be evaluated? Evolving trends have recently included the use of diagnostic laparoscopy. In September 1995 we instituted a protocol of diagnostic laparoscopy to identify those patients who could safely avoid surgical intervention. DESIGN Prospective case series. MATERIALS AND METHODS Hemodynamically sta...

BACKGROUND Historically, military surgical doctrine has mandated exploratory laparotomy for all penetrating fragmentation wounds. We hypothesized that stable patients with abdominal fragmentation injuries whose computerized tomography (CT) scans for intraperitoneal or retroperitoneal penetration disclosed nothing abnormal, can be safely observed without therapeutic laparotomy. METHODS We retr...

INTRODUCTION Laparoscopy, as a minimally invasive diagnostic and therapeutic tool in blunt abdominal trauma (BAT), is not commonly used and has been shown to be controversial. The aim of this study is to assess the role of laparoscopy in the diagnosis and therapy of BAT. METHODS A systematic review and a comprehensive literature search was performed at the U.S. National Library of Medicine si...

INTRODUCTION One of the most lethal mechanisms of injury is shotgun wound and particularly the abdominal one. CASE PRESENTATION We report a case of a 45 years old male suffering abdominal shotgun trauma, who survived his injuries. CONCLUSION The management of the abdominal shotgun wounds is mainly dependent on clinical examination and clinical judgment, while requires advanced surgical skills.

Preventable laparotomy in patients with abdominal trauma who present with haemoperitoneum but with stable hemodynamics may be avoided if a diagnostic or therapeutic laparoscopy is performed. The assessment of a patient with abdominal trauma can be complicated by many factors, and the resultant inaccurate or delay in diagnosis has contributed to the unacceptable high mortality and morbidity for ...

Introduction: Early diagnosis and treatment of injuries of the diaphragm are important both because of high incidence of concomitant injuries and since they may lead to life-threatening intestinal and gastric strangulation in the late term. Herein, cases with diaphragmatic injury that have been diagnosed and operated in the early period after injury or during surgery were presented. Methods: Da...

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...

OBJECTIVE To estimate the sensitivity and specificity of emergency department (ED) ultrasound for the detection of solid organ injury following blunt abdominal trauma. METHODS A prospective cohort study performed in the ED of an urban Level I trauma center on patients who sustained blunt abdominal trauma. Following initial standard trauma evaluation, patients underwent a secondary ultrasound ...