Six years experience of blunt abdominal trauma leading to small intestine Perforation in Logh­rnan-e-Hakim Medical center. Between Sept. 1982 to Sept. 1988, 24 cases of abdominal blunt trauma leading to perforation of small intestine were managed at Loghman-e-Hakim Medical center. All the cases were treated surgically either by debridment and repair or resection and anas­tomosis, with no mortal...

Extra-hepatic bile duct injury from blunt abdominal trauma is uncommon. Complete traumatic transection of the common bile duct (CBD) with subsequent complication of a choledochoduodenal fistula is extremely rare and only a handful of reports are found in the medical literature. We describe a 20-year-old male patient who presented with a complete transection of the CBD following blunt abdominal ...

OBJECTIVES To determine the cause, presentation, anatomical distribution, diagnostic method, management and outcome of intestinal injuries from blunt abdominal trauma. METHODS The study included 47 patients who underwent laparotomy for intestinal injuries from blunt abdominal trauma over a period of 4 years. A retrospective study was conducted and the patients were analyzed with respect to th...

OBJECTIVE To determine the pattern, presentation and outcome of gastrointestinal injuries from blunt abdominal trauma in children. DESIGN A retrospective study. SETTING Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. SUBJECTS Twenty one children managed for gastrointestinal injuries from blunt trauma from 1984-2002. MAIN OUTCOME MEASURES The pattern, presentation, management ...

A 32-year-old man sustained an isolated perforation of the gallbladder following blunt abdominal trauma. A preoperative diagnosis was made on an ultrasound scan, which showed a pericholecystic fluid collection only. At laparotomy, a gallbladder perforation at the infundibulum was identified with a localised bile collection, warranting a cholecystectomy. Isolated gallbladder injury from blunt ab...

INTRODUCTION The management of splenic injuries has shifted from splenectomy to splenic preservation owing to the risk of overwhelming post-splenectomy infection (OPSI). This study aimed to identify the factors that determine splenectomy in patients with isolated splenic injuries, with a view to increasing the rate of splenic preservation. PATIENTS AND METHODS Files of 55 patients managed for...

BACKGROUND Evaluating blunt abdominal trauma remains a resource intensive aspect of trauma care. Recently, emergency department ultrasound has been promulgated as a noninvasive diagnostic alternative. Consequently, we hypothesized that an ultrasound based key clinical pathway (KCP) would reduce the number of diagnostic peritoneal lavage (DPL) and computed tomographic (CT) scans required to eval...

Renal artery thrombosis secondary to blunt abdominal trauma is distinctly rare. We report three cases of unilateral real artery thrombosis patients in our hospital and analyze its clinical diagnosis, therapeutic to the literature on the subject. In light of the classification of traumatic renal pedicle is not very distinct yet, we classify renal artery thrombosis for blunt abdominal trauma as a...

We present a unique case of perforative appendicitis that occurred in an adult following blunt abdominal trauma. This case represents the first such reported case from Ireland. It also represents a modern practical example of Laplace's theory of the effect of increased pressure on colonic wall tension leading to localized perforation, and serves to highlight not only the importance in preoperat...

Multislice computed tomography (MSCT) is the imaging modality of choice in assessing clinically stable patients with blunt abdominal trauma. This study assessed the role of MSCT in the detection of intra abdominal injury caused by blunt trauma in our centre within a two-year-period (2008-2009). A total of 151 patients had MSCT abdomen for blunt abdominal trauma within this study period. Positiv...