BACKGROUND Blunt hollow viscus injury (HVI) is uncommon. No sufficiently large series has studied the prevalence of these injuries in blunt trauma patients. This study defines the prevalence of blunt HVI, in addition to the associated morbidity and mortality rates for this diagnosis on the basis of a series of over 275,000 trauma admissions. METHODS Patients with blunt small bowel injury (SBI...

Starship Children's Hospital in Auckland, New Zealand, serves a population of 1.2 million people and is a tertiary institution for pediatric trauma. This study is designed to review all cases of abdominal injury (blunt and penetrating) that resulted in injury of a hollow abdominal viscus including the stomach, duodenum, small intestine, large intestine and urinary bladder. The mechanism of inju...

objective: to determine the presentation, anatomical distribution, diagnostic method, management and outcome of hollow viscus injury (hvi) from blunt abdominal trauma. methods: this was a retrospective cross-sectional study including patients with blunt abdominal trauma leading to hvi admitted at rajendra institute of medical sciences, ranchi, over a period of 4.5 years (january 2009 to july 20...

A delay in diagnosing hollow viscus injury (HVI) causes an increase in mortality and morbidity. HVI remains a challenge to diagnose, and there is no specific diagnostic biomarker for HVI. We evaluated the utility of intestinal fatty acid-binding protein (I-FABP) in diagnosing HVI in blunt trauma patients. Within a 5-year period, 93 consecutive patients with clinically suspected HVI at our traum...

Purpose: Despite advances in diagnostic and imaging technologies, the diagnosis of traumatic hollow viscus injury (HVI) remains a great challenge clinical practice. This study aimed to determine accuracy computed tomography (CT) HVI emergent blunt trauma patients.Methods: The was conducted on patients with abdominal who were admitted our center, regional emergency Kyung Hee University Medical C...

Sonography in trauma patients can be associated with obstacles as within obese patients or patients with intestinal gas. A retroperitoneal bleeding might be difficult to realize as there is no free fluid seen in the abdomen. Also, small hollow viscus organ lesions can easily be missed. A delay of the diagnose of a hollow viscus organ injury, such as a small bowl injury, has a major impact on th...

INTRODUCTION Hollow viscus injuries (HVIs) are uncommon but potentially catastrophic conditions with high mortality and morbidity rates. The aim of this study was to analyze our 16-year experience with patients undergoing surgery for blunt or penetrating bowel trauma to identify prognostic factors with particular attention to the influence of diagnostic delay on outcome. METHODS From our mult...

A 40-year-old man suffered severe orthopaedic and maxillo-facial injuries in a motor vehicle accident. After resuscitation he underwent extensive orthopaedic surgery to manage his fractures. A diagnostic peritoneal lavage just prior to his operation revealed a red blood cell count of 0.15 x 10(12)/L and white blood cell count of 3.3 x 10(12)/L. However, as the patient was haemodynamically stabl...