BACKGROUND Little is known about the clinical importance of concomitant injuries in polytraumatized patients with high-grade blunt liver injury. A retrospective single-centre study was performed to investigate the safety of non-operative management of liver injury and the impact of concomitant intra- and extra-abdominal injuries on clinical outcome. METHODS Some 183 patients with blunt liver ...

Background Currently, almost all patients with probable abdominal injury undergo urinalysis in emergency department (ED). The present survey was conducted with the aim of assessing the diagnostic values of urinalysis compare with abdominal computed tomography (CT) scan with contrast for predicting possible intra-abdominal injuries in children affected by blunt trauma. Materials and Methods: The...

BACKGROUND We sought to determine torso injury rates and sensitivities associated with fluid-positive abdominal ultrasound, metabolic acidosis (increased base deficit and lactate), and impaired pulmonary physiology (decreased spirometric volume and PaO2/FiO2). METHODS Level I trauma center prospective pilot and post-pilot study (2000-2001) of stable patients. Increased base deficit was < 0.0 ...

Background & Aims: Increase in abdominal pressure can lead to the so-called intra–abdominal compartment syndrome (ACS) that is often observed during the first 24 hours after sever abdominal trauma and surgery. Measurement of the intra abdominal pressure through the bladder as a non-invasive measurement can provide a quick and accurate assessment of abdominal pressure changes. This study was per...

Inflammatory abdominal aortic aneurysms are pathophysiologically different from the noninflammatory abdominal aortic aneurysms. Their inflammatory histology dictates its different behavior, and possibly, its particular response to endovascular treatment. The authors present a case of hydronephrosis and consequent acute kidney injury in a patient with an inflammatory abdominal aortic aneurysm wh...

INTRODUCTION: The relatively fixed position of the liver and its large size makes it more prone for injury in blunt trauma of the abdomen. Liver and spleen together, account for 75% of injuries in blunt abdominal trauma. (1) Though liver is the second most commonly injured organ in abdominal trauma, it is the most common cause of death following abdominal injury. Compared to splenic injuries, m...

The relatively fixed position of the liver and its large size makes it more prone for injury in blunt trauma of the abdomen. Liver and spleen together, account for 75% of injuries in blunt abdominal trauma. Though liver is the second most commonly injured organ in abdominal trauma; it is the most common cause of death following abdominal injury. Compared to splenic injuries, management of liver...

With the inventions of faster cars and even more faster motorbikes there is a worldwide increase in road traffic accidents, which has increased the incidence of blunt abdominal trauma but still duodenal injury following a blunt abdominal trauma is uncommon and can pose a formidable challenge to the surgeon and failure to manage it properly can result in devastating results. It may typically occ...

Stab injuries to the abdomen have become a common occurrence, though retained objects are rare. A 22-year-old male presented with left lower abdominal discomfort next day after having stab in right hypochondrium. He was hemodynamically stable, no signs of peritonitis. Abdominal X-ray revealed 15 cm long knife blade abdomen. underwent laparotomy for removal located inside peritoneal cavity his i...