• The aim of this study is to analyse whether examination with a HCU device is a rapid and reliable alternative to contrast-enhanced multidetector CT (MDCT) scans in diagnosis of free intra-abdominal fluid and organ lacerations in major trauma patients. (uni-regensburg.de)
  • 15 and the necessity of a MDCT scan (standard of reference) were enrolled prospectively to this study, and additionally examined with a HCU, according to 'focused assessment with sonography for trauma' principles for the assessment of organ lacerations and free intra-abdominal fluid. (uni-regensburg.de)
  • In major trauma patients, examination with HCU according to the 'focused assessment with sonography for trauma' principles for the diagnosis of organ lacerations and free intra-abdominal fluid is a reliable and rapid alternative to MDCT scans and can help save precious time in emergency situations, and should, additionally, be evaluated in the pre-clinical workflow. (uni-regensburg.de)
  • A recent survey of 328 trauma surgeons demonstrated marked variation in the management of patients with head injuries and the finding of free intra-abdominal fluid without solid organ injury on CT scan. (elsevierpure.com)
  • Methods Articles concerning the incidence and significance of free intra-abdominal fluid on CT scan of blunt trauma patients without solid organ injury were systematically reviewed. (elsevierpure.com)
  • Conclusion The isolated finding of free intra-abdominal fluid on CT scan in patients with blunt trauma and no solid organ injury does not warrant laparotomy. (elsevierpure.com)
  • concluded that associated lumbar fracture, free intra-abdominal fluid, and tachycardia were highly predictive of intestinal injury in children with AWB and the need for laparotomy after MVC. (medscape.com)
  • Hemorrhage and systemic infection are the main causes of deaths that result from abdominal trauma. (wikipedia.org)
  • Laparotomy is necessary if acute abdominal trauma creates a substantial, perhaps fatal hemorrhage. (spinal-injury.net)
  • ODOM SR. ODOM S.R. ODOM, STEPHEN R. INTRA-ABDOMINAL HEMORRHAGE. (mhmedical.com)
  • Abdominal hemorrhage can be intraperitoneal or extraperitoneal (e.g., retroperitoneal or within the abdominal wall), and secondary to either a primary or secondary process (e.g., after trauma). (mhmedical.com)
  • Extraperitoneal hemorrhage can occur between leaves of the mesentery, in the retroperitoneum, or in the abdominal wall. (mhmedical.com)
  • Sudden deceleration injury or transmission of blunt force directly to the spleen or liver is responsible for most cases of intraperitoneal hemorrhage after trauma. (mhmedical.com)
  • Abdominal wall and retroperitoneal hemorrhage can be related to intramuscular injections, or to anticoagulant medications, with or without antecedent trauma. (mhmedical.com)
  • Retroperitoneal hemorrhage can also be associated with major vascular injuries or malignancy and can be spontaneous. (mhmedical.com)
  • Diffuse hemorrhage can lead to abdominal distention and shock with associated ileus. (mhmedical.com)
  • 5 6 Well-recognized complications of laparoscopic cholecystectomy include bile leak, common bile duct injury, hemorrhage, retained gallstone, and wound infections. (highwire.org)
  • Lacerations Associated injuries hemorrhage immediately. (msdmanuals.com)
  • Hemorrhage due to low-grade solid organ injury, minor vascular laceration, or hollow viscus laceration is often low-volume, with minimal physiologic consequences. (msdmanuals.com)
  • Therefore, we conducted this systematic review and meta-analysis to investigate the effect size of embolization-related pelvic complications after nonselective angioembolization compared to that after selective angioembolization in patients with pelvic injury accompanying hemorrhage. (bvsalud.org)
  • In the absence of definitive hemorrhage or free abdominal air on radiographic imaging, predictors for operative exploration are conflicting. (medscape.com)
  • Pneumoperitoneum, air or gas in the abdominal cavity, may be an indication of rupture of a hollow organ. (wikipedia.org)
  • Gastrointestinal organs such as the bowel can spill their contents into the abdominal cavity. (wikipedia.org)
  • The abdominal cavity contains the spleen, liver, bowel, pancreas and kidney (among other organs). (coloradoinjurylaw.com)
  • And since the abdominal cavity is actually crammed with a lot of organs and tissues, one can only imagine what will happen next if this weak spot suddenly bursts open. (mypetneedsthat.com)
  • This can be easily remedied by the careful and gentle application of pressure to push the fatty tissue through the hole and back within the abdominal cavity. (mypetneedsthat.com)
  • The diaphragm is that special layer of muscle that separates the thoracic cavity, where the heart and lungs are located, from the abdominal cavity. (mypetneedsthat.com)
  • The perineum is the opposite of the diaphragm, forming the lower border of the abdominal cavity. (mypetneedsthat.com)
  • It is the demarcation line between the abdominal cavity and the pelvic cavity. (mypetneedsthat.com)
  • Prophylactic (preventative) antibiotics are typically given for injuries that pierce the peritoneal cavity (penetrating abdominal trauma) to reduce the risk of sepsis and septic sequelae, such as septicemia, abdominal abscesses, and wound infections. (spinal-injury.net)
  • A hernia can be defined as the protrusion of an organ or part through a defect in the wall of the anatomical cavity in which it lies. (vin.com)
  • The diaphragm is in the shadowy borderlands between the thoracic and abdominal cavity and is caught at the top of the CT abdomen/pelvis. (emdocs.net)
  • This disease is characterised by a defect in abdominal wall closure with herniation of the intestines and other abdominal organs into the amniotic cavity. (bvsalud.org)
  • Diagnostic laparoscopy is useful for making a definitive clinical diagnosis whenever there is a diagnostic dilemma even after routine diagnostic workup, including patients with nonspecific abdominal pain, hemodynamically stable patients who have sustained blunt or penetrating trauma with suspected intra-abdominal injuries, and critically ill intensive care unit (ICU) patients with suspected intra-abdominal sepsis or pathologies. (medscape.com)
  • In Gram-negative bacterial sepsis, production of excess pro-inflammatory cytokines results in hyperinflammation and tissue injury. (nature.com)
  • Together, these findings demonstrate the therapeutic ability of AVR-25 to mitigate the storm of inflammation and minimize tissue injury with high potential for adjunctive therapy in intra-abdominal sepsis. (nature.com)
  • Inflammatory mediators play a critical role in the pathogenesis and potential management of intra-abdominal sepsis. (nature.com)
  • 1 In the pediatric population it is usually associated with intra-abdominal trauma, surgical abdominal emergencies, post-surgery (intra-abdominal or cardiac), fluid resuscitation in burns or sepsis, and post CPR. (acep.org)
  • Beyond sepsis-induced inflammation, a mechanical ventilation regimen can also propagate ventilator-related injury that may precipitate ARDS. (ceufast.com)
  • First case clinical study records described the development of severe or mild respiratory distress in patients with severe pancreatitis, sepsis, nonthoracic injuries, massive transfusion, and other conditions. (ceufast.com)
  • DESIGN-- We created an electronic health record-based surveillance definition for severe sepsis using clinical indicators of infection (blood culture and antibiotic orders) and concurrent organ dysfunction (vasopressors, mechanical ventilation, and/or abnormal laboratory values). (cdc.gov)
  • Sepsis, life-threatening organ dysfunction secondary to infection, contributes to at least 1.7 million adult hospitalizations and at least 350,000 deaths annually in the United States. (cdc.gov)
  • MEASUREMENTS AND MAIN RESULTS: Sepsis was identified by clinical indicators of concurrent infection and organ dysfunction. (cdc.gov)
  • Injuries associated with intra-abdominal trauma include rib fractures, vertebral fractures, pelvic fractures, and injuries to the abdominal wall. (wikipedia.org)
  • The ICD-10 code range for Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals S30-S39 is medical classification list by the World Health Organization (WHO). (aapc.com)
  • Abdominal trauma is an injury to the abdomen. (wikipedia.org)
  • Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. (wikipedia.org)
  • Abdominal guarding is a tensing of the abdominal wall muscles to guard inflamed organs within the abdomen. (wikipedia.org)
  • In children, bicycle mishaps are also a common cause of abdominal injury, especially when the abdomen is struck by the handlebars. (wikipedia.org)
  • The liver, the most vulnerable abdominal organ to all forms of injury because of its size and location (in the upper right quadrant of the abdomen), is injured in about five percent of all people admitted to a hospital for trauma. (wikipedia.org)
  • Hernia is roughly defined as the outpouching of abdominal contents through the wall of the abdomen. (mypetneedsthat.com)
  • One of the leading causes of preventable mortality in trauma patients is injuries to the abdomen that go unnoticed. (spinal-injury.net)
  • injury may be confined to the abdomen or be accompanied by severe, multisystem trauma. (msdmanuals.com)
  • Bladder Trauma External bladder injuries are caused by either blunt or penetrating trauma to the lower abdomen, pelvis, or perineum. (msdmanuals.com)
  • Blunt abdominal trauma and penetrating injuries of the abdomen most often lead to solid organ injuries. (mhmedical.com)
  • These include bowel obstruction, traumatic intra-abdominal injuries and intra-abdominal bleeding, recent liver transplant, aerophagia, abdominal mass, and increased abdominal perfusion or re-perfusion often associated with fluid resuscitation or in the post-surgical setting. (acep.org)
  • Firstly if incarceration leads to serious luminal obstruction, the distension of the obstructed organ with fluid and gas may eventually result in sufficient intramural pressure to obstruct the vascular supply. (vin.com)
  • This may then lead on to blood or body fluid loss, toxaemia or septicaemia depending on the organ involved. (vin.com)
  • This study was undertaken to attempt to determine what to do when free fluid without solid organ injury is seen on abdominal CT scan in patients with blunt trauma. (elsevierpure.com)
  • An intra-abdominal abscess is a collection of pus or infected fluid that is surrounded by inflamed tissue inside the belly. (saintpetershcs.com)
  • Indications for a total laparoscopic hysterectomy (TLH) are similar to those for total abdominal hysterectomy (TAH) and may include leiomyomata, pelvic organ prolapse, and abnormal uterine bleeding. (medscape.com)
  • Sports injuries can affect abdominal organs such as the spleen and kidneys. (wikipedia.org)
  • Spleen is the most common cause of massive bleeding in blunt abdominal trauma to a solid organ. (wikipedia.org)
  • Spleen is the most commonly injured organ. (wikipedia.org)
  • However, unlike the liver, penetrating trauma to the spleen, pancreas and kidneys do not present as much of an immediate threat of shock unless they lacerate a major blood vessel supplying the organs, such as the renal artery. (wikipedia.org)
  • This pathway is intended to treat children who present to the Emergency Department with suspected solid organ injuries to the liver, spleen, or kidney. (chop.edu)
  • The spleen and the kidneys are only two of the abdominal organs that might be damaged by a sports injury. (spinal-injury.net)
  • 1 Liver injury can be present in up to 10% of blunt abdominal traumas, but occurs in isolation much less commonly than the spleen. (mhmedical.com)
  • The spleen is the organ damaged most commonly, followed by the liver and a hollow viscus (typically the small intestine). (msdmanuals.com)
  • These are the third most common traumatic perforations after liver and spleen and are usually associated with other injuries. (emdocs.net)
  • In such cases, the sigmoid colon or any other abdominal organ or tissue can push itself through the perineum and compress the organs in the pelvis adjacent to the rectum and anus such as the urinary bladder. (mypetneedsthat.com)
  • Her course was complicated by an additional exploratory laparotomy for increasing abdominal distention and free air. (acep.org)
  • Blunt or penetrating trauma may lacerate or rupture intra-abdominal structures. (msdmanuals.com)
  • Secondly, incarceration may directly compromise the vascular supply to the herniated organ resulting in necrosis and rupture. (vin.com)
  • Seat belts reduce the incidence of injuries such as head injury and chest injury, but present a threat to such abdominal organs as the pancreas and the intestines, which may be displaced or compressed against the spinal column. (wikipedia.org)
  • If the hole happens to be big enough so as to allow sections or organs like the intestines or the colon to push through the abdominal wall, there is a possibility that the narrowed passage can constrict blood vessels in these organs. (mypetneedsthat.com)
  • The small and large intestines, urinary bladder, or even the uterus can push themselves through the weakened muscles of the groin, strangling and cutting off circulation to these organs. (mypetneedsthat.com)
  • While seat belts help prevent more serious injuries like those to the head and chest, they pose a risk to internal organs like the pancreas and intestines that might be pushed against the spine. (spinal-injury.net)
  • The pancreas may be injured in abdominal trauma, for example by laceration or contusion. (wikipedia.org)
  • Forty-one articles were excluded from the analysis because they looked at only patients with known injuries to intestine, diaphragm, or pancreas and the investigation of the CT scan findings did not include negative scans. (elsevierpure.com)
  • Injury to the lower chest may cause splenic or liver injuries. (wikipedia.org)
  • Solid abdominal organs, such as the liver and kidneys, bleed profusely when cut or torn, as do major blood vessels such as the aorta and vena cava. (wikipedia.org)
  • Liver injuries present a serious risk for shock because the liver tissue is delicate and has a large blood supply and capacity. (wikipedia.org)
  • Splenic injury presents with abdominal pain, with referred pain to the left shoulder (Kehr sign), while the pain after a liver injury can radiate to the right shoulder. (mhmedical.com)
  • Expansion of donor liver graft options beyond the whole-organ deceased donor graft to now include segmental or isolated lobe grafts, split liver grafts, living donor, and deceased after circulatory death (DCD) grafts have greatly expanded the transplant possibilities for children on the waiting list. (musculoskeletalkey.com)
  • Changes in donor organ allocation policies and improved organ preservation allowing broader geographic distribution have also increased potential access for children to donor liver grafts. (musculoskeletalkey.com)
  • In 2018, approximately 525 children were registered on the United Network for Organ Sharing (UNOS) national liver transplant wait list, more than half of whom were aged 5 years or younger. (musculoskeletalkey.com)
  • Together, the increased use of split liver and living donor transplant and high acuity at operation reflect overall limited access to suitable donor organs for children on the wait list. (musculoskeletalkey.com)
  • The progression of liver injury to cirrhosis may occur over several weeks to years. (medscape.com)
  • Critical care literature is full of organ support therapies directed at managing respiratory failure, shock, renal, hepatic, and central nervous system dysfunction. (ijccm.org)
  • [ 2 ] Gunshot wounds are responsible for most penetrating injuries and carry a significantly higher mortality compared with blunt mechanism injuries. (medscape.com)
  • Gunshot wounds that penetrate the peritoneum result in significant damage to major intra-abdominal structures in some 90 percent of cases. (wikipedia.org)
  • While most penetrating wounds heal on their own, they may cause serious internal bleeding and damage to nearby organs and blood vessels. (spinal-injury.net)
  • Major intra-abdominal tissues are usually severely damaged by gunshot wounds that pierce the peritoneum, in about 90% of instances. (spinal-injury.net)
  • Over 80 percent of penetrating wounds leading to abscesses occurred in the upper quadrants, and common risk factors included multiple intraabdominal solid organ injuries requiring open drainage, coupled with gastrointestinal tract perforation. (nih.gov)
  • A MEDLINE search was performed using terms such as tomography-x-ray computed, wounds-nonpenetrating, small intestine/injuries, time factors, and abdominal trauma and diagnostic tests. (elsevierpure.com)
  • In addition, these data suggest that a lack of the seat belt sign, abdominal bruising, abdominal wounds, or abdominal tenderness are individually predictive of patients who will not require surgical intervention. (medscape.com)
  • Motor vehicle collisions are a common source of blunt abdominal trauma. (wikipedia.org)
  • In Australia, over 90% of all serious trauma is the result of blunt abdominal trauma mechanisms such MVCs, falls, and violent blows. (spinal-injury.net)
  • See " Approach to blunt abdominal trauma . (amboss.com)
  • the intestine is the least common source of hemoperitoneum in patients suffering blunt abdominal trauma. (mhmedical.com)
  • Background Abdominal computed tomographic (CT) scan is accepted as the primary diagnostic modality in stable patients with blunt abdominal trauma. (elsevierpure.com)
  • Ten articles, which described CT scan results for all patients presenting with blunt abdominal trauma for a defined period of time, formed the basis of this study. (elsevierpure.com)
  • The objective of the present study was to determine predictive factors associated with the need for abdominal exploratory surgery in children sustaining blunt abdominal injury after MVC. (medscape.com)
  • Hollow organs such as the stomach, while not as likely to result in shock from profuse bleeding, present a serious risk of infection, especially if such an injury is not treated promptly. (wikipedia.org)
  • Here, we report a novel approach to treat septicemia associated with intra-abdominal infection in a murine model by delicately balancing pro- and anti-inflammatory cytokines. (nature.com)
  • Following the cecal ligation and puncture (CLP) procedure, intravenous dosing of AVR-25 (10 mg/kg, 6-12 h post-CLP) alone and in combination with antibiotic imipenem protected both young adult (10-12 week old) and aged (16-18 month old) mice against polymicrobial infection, organ dysfunction, and death. (nature.com)
  • Thus, new therapeutic approaches are needed to effectively inhibit the hyperinflammation produced by the overwhelming cytokine response during bacterial infection without developing resistance to secondary infection in abdominal infections like peritonitis. (nature.com)
  • Intra-abdominal injuries are often treated nonoperatively since there is no active bleeding or infection risk. (spinal-injury.net)
  • Cholecystitis is the inflammation Inflammation Inflammation is a complex set of responses to infection and injury involving leukocytes as the principal cellular mediators in the body's defense against pathogenic organisms. (lecturio.com)
  • chronic inflammation Inflammation Inflammation is a complex set of responses to infection and injury involving leukocytes as the principal cellular mediators in the body's defense against pathogenic organisms. (lecturio.com)
  • Complications following LT occur commonly and may derive from pretransplant recipient condition, graft-specific factors (including preservation and ischemia-reperfusion injury), technical or intraoperative complications, the immunologic response to the graft, or infection. (musculoskeletalkey.com)
  • Abdominal abscesses can be caused by a bacterial infection. (saintpetershcs.com)
  • Antibiotics may help treat an infection that could lead to an intra-abdominal abscess. (saintpetershcs.com)
  • Author Manuscript reviewed 1,000 randomly selected medical charts to characterize the definition's accuracy and stability over time compared with a claims-based definition requiring infection and organ dysfunction codes. (cdc.gov)
  • 9 Diffuse or localized pain though common in acute abdominal emergencies, this may be difficult to elicit in sedated or obtunded patients. (ijccm.org)
  • Penetrating trauma to the chest below the fourth intercostal space (or nipple line) should also be evaluated as a potential abdominal wound because of the location of abdominal organs within the chest during the respiratory cycle. (msdmanuals.com)
  • The Seventh Organ-Gastrointestinal Tract: Neglect at Your Own Peril! (ijccm.org)
  • How to cite this article Kulkarni AP, Govil D, Gupta S. The Seventh Organ-Gastrointestinal Tract: Neglect at Your Own Peril! (ijccm.org)
  • [ 1 , 2 ] Laparoscopic ultrasonography (LUS) can also be performed during exploratory laparoscopy to evaluate organs that are not amenable to direct visual inspection. (medscape.com)
  • The advent of laparoscopic surgery represents a landmark in surgery that initiated a shift from the era of open abdominal surgery to the minimally invasive surgery revolution. (medscape.com)
  • The literature on the advantages and efficacy of laparoscopic management for specific intra-abdominal diseases (including acute appendicitis, acute cholecystitis, and several others) is vast, and a full survey is beyond the scope of this review. (medscape.com)
  • Laparoscopic radical hysterectomy has emerged as an alternative to abdominal radical hysterectomy for patients with stage I cervical cancer. (medscape.com)
  • Laparoscopic hysterectomy is a preferable alternative to open abdominal hysterectomy for those patients in whom a vaginal hysterectomy is not indicated or feasible. (medscape.com)
  • Essential laparoscopic skills were camera navigation, mobilization of intraabdominal organs, bowel run and intracorporeal suturing. (smu.ac.za)
  • The injury may present with abdominal pain, tenderness, distension, or rigidity to the touch, and bowel sounds may be diminished or absent. (wikipedia.org)
  • All were blunt trauma 3) The clinical manifestations and physical examination were abdominal pain(92%), abdominal tenderness, rigidity, decreased bowel sound, rebound tenderness in order frequency. (jksem.org)
  • Recently, postoperative early enteral nutrition (EEN) has been recommended for abdominal surgery. (bvsalud.org)
  • Female reproductive organs, sagittal section. (medscape.com)
  • Acute abdominal pain is one of the most common indications for an emergency department (ED) visit. (medscape.com)
  • When a diagnosis of persistent acute abdominal pain of less than 7 days' duration remains uncertain after baseline diagnostic and radiologic investigations, this condition is termed nonspecific abdominal pain (NSAP). (medscape.com)
  • Acute abdominal pain is one of the most frequent presentations of children visiting emergency departments or outpatient clinics. (mhmedical.com)
  • In 30-40% of these patients, the etiology of the abdominal pain remains elusive despite laboratory and radiologic investigations. (medscape.com)
  • The etiology of her ACS was increasing abdominal distention and worsening intra-abdominal hypertension (IAH) from intra-luminal air secondary to her aerophagia and a concomitant cecal volvulus. (acep.org)
  • 5 Nevertheless, the use of the extraperitoneal approach may be favored in patients with morbid obesity or patients who had previous extensive abdominal surgery. (canjurol.com)
  • Organs may require surgery. (spinal-injury.net)
  • Penetrating injuries, peritonitis, or shock may need surgery. (spinal-injury.net)
  • The use of mesh in General Surgery to repair hernias of the groin or the abdominal wall is well established internationally and is considered the procedure of choice. (nicoladavis.co.nz)
  • Surgery is sometimes necessary to treat an injury or illness. (wieandlaw.com)
  • Abdominal surgery or trauma can put you at risk for an intra-abdominal abscess. (saintpetershcs.com)
  • If you've recently had surgery or trauma to an abdominal organ and have other risk factors, such as diabetes or inflammatory bowel disease, watch for signs of an intra-abdominal abscess. (saintpetershcs.com)
  • Respiratory rate was the only vital sign that was significantly altered ( p = 0.04) in those who required abdominal surgery compared with those who did not. (medscape.com)
  • however, the need for abdominal exploratory surgery persists in select circumstances. (medscape.com)
  • Literature describing predictive factors for the need for abdominal exploratory surgery in pediatric patients presenting with blunt trauma after MVC is scarce. (medscape.com)
  • Other studies have presented conflicting data, and have suggested that the SBS is not associated with an increased risk of abdominal injury or need for abdominal surgery. (medscape.com)
  • In the ED setting, it can be difficult to recognize ACS as the primary cause of multi-organ dysfunction. (acep.org)
  • Shock Shock is a state of organ hypoperfusion with resultant cellular dysfunction and death. (msdmanuals.com)
  • Increased intra-abdominal pressure (IAP) is common among post-surgical patients and may cause organ dysfunction. (upf.edu)
  • The images are reviewed by the on-call radiology resident, as well as the ED resident and trauma surgeon, who found a left hip dislocation, an acetabular fracture, and two right lower rib fractures, with no other obvious injuries. (emdocs.net)
  • Polytrauma seen in 41.6% of the patients was the most common associated injury seen with pelvic fractures. (bvsalud.org)
  • Most intraperitoneal bleeding is related to traumatic solid organ injury. (mhmedical.com)
  • Tragically, the home environment is the next most common scene of pediatric injury. (medscape.com)
  • Most pediatric trauma occurs as a result of blunt trauma, with penetrating injury accounting for 10-20% of all pediatric trauma admissions at most centers. (medscape.com)
  • Seeding of deep-seated organs by Salmonella Typhi, resulting in bone and soft tissue infections and splenic and hepatic abscesses, has been reported ( 6 - 9 ). (cdc.gov)
  • Intra-abdominal abscesses sometimes happen because of another condition. (saintpetershcs.com)
  • The right early treatment can greatly improve the outcome for people who have intra-abdominal abscesses. (saintpetershcs.com)
  • The advantages of TLH have been firmly established to include reduced short-term morbidity (less blood loss, wound infections, and postoperative pain), shorter hospital stay, and faster resumption of normal activities when compared with abdominal hysterectomy. (medscape.com)
  • Despite an increase in overall number of localized, extensively drug-resistant Salmonella Typhi in organ infections during 2018, there was no increase in the proportion of such isolates in comparison with non-extensively drug-resistant isolates. (cdc.gov)
  • The frequency of isolation of the organism from extraintestinal organ infections was compared with that of blood/bone marrow, stool, and urine. (cdc.gov)
  • These could include abdominal pain and distention, nausea and vomiting, altered mental status, hemodynamic instability, and even shock. (acep.org)
  • Gastroschisis is condition characterized by a congenital herniation of abdominal viscera through a full thickness defect in the anterior abdominal wall, usually to the right of the umbilicus, with no protective covering. (scirp.org)
  • This is a case report of a newborn female referred from a district hospital with an abdominal wall defect that was not identified on antenatal ultrasound, with features consistent with a left-sided gastroschisis and a bifid umbilical cord at its fetal attachment site. (scirp.org)
  • Gastroschisis is a congenital anomaly typically characterized by anterior abdominal wall defect on the right of a normal umbilicus with herniation of abdominal contents through it. (scirp.org)
  • Newborn examination revealed, anterior abdominal wall defect with evisceration of small and large bowel loops, uterine tubes, and stomach. (scirp.org)
  • At NICU, further examination revealed a female baby, not pale, anicteric, mild peripheral cyanosis, and anterior abdominal wall defect (size of about 4 cm) on the left side of a bifid umbilical cord at its attachment site with evisceration of small bowel loops, stomach, uterine tubes and ovaries with no covering membrane ( Figure 1 ). (scirp.org)
  • Carrick MM, Morrison CA, Pham HQ, Norman MA, Marvin B, Lee J, Wall MJ, Mattox KL " Modern management of traumatic subclavian artery injuries: a single institution's experience in the evolution of endovascular repair. . (bcm.edu)
  • Hernia in dogs can be due to injuries or a metabolic abnormality that causes a certain section of the dog's abdominal wall to weaken. (mypetneedsthat.com)
  • These can include fatty tissues and abdominal organs that push their way through a weakened spot in the abdominal wall. (mypetneedsthat.com)
  • This is mostly congenital in nature and results in the protrusion of the umbilicus through the abdominal wall. (mypetneedsthat.com)
  • Abdominal wall and muscular hematomas can likewise be a complication of anticoagulation or trauma, but also can be seen after forceful coughing or during pregnancy. (mhmedical.com)
  • A hernia is due to a weakness in the abdominal wall resulting in intra-abdominal contents protruding through and forming a lump. (nicoladavis.co.nz)
  • The change in position of the testes is much more pronounced than that of the ovaries and includes its journey through the thickness of the abdominal wall to the scrotum. (pediatricurologybook.com)
  • Blunt injury may alternatively cause only a hematoma in a solid organ or the wall of a hollow viscus. (msdmanuals.com)
  • 1, 2, 3, 4, 5] Inguinal hernias account for 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women. (medscape.com)
  • This usually occurs when an organ that is herniating through the defect in the abdominal wall becomes trapped (incarcerated hernia) and/or its blood supply becomes compromised (strangulated hernia). (vin.com)
  • The transverse abdominis pulls the abdominal wall inward, increases intra-abdominal pressure when flexed, and supports organs in the abdominal region. (tigerfitness.com)
  • [ 3 , 4 ] However, shortly after the introduction of seat belts in 1960, the "seat belt syndrome" was described-a combination of abdominal wall bruising (AWB), intra-abdominal injury (IAI), and lumbar spine fracture-raising concern that seat belts may cause a unique set of injuries. (medscape.com)
  • During its journey it must pass through the peritoneum, abdominal wall via the inguinal canal, and into the scrotal pouch. (medscape.com)
  • Male children younger than 18 years have higher injury and mortality rates, perhaps in part because of their more aggressive behavior and exposure to contact sports. (medscape.com)
  • The nature and severity of abdominal injuries vary widely depending on the mechanism and forces involved, thus generalizations about mortality and need for operative repair tend to be misleading. (msdmanuals.com)
  • 9) The overall mortality rate was 5%, in abdominal trauma with multiple injury. (jksem.org)
  • In addition to demographic data, parity ing the peripartum period in relation to the and gestational age, details of any maternal number of previous caesarean sections and intra-operative, postoperative and puerperal the risks of maternal morbidity and mortal- morbidity and mortality were extracted. (who.int)
  • Early indications of abdominal trauma include nausea, vomiting, blood in the urine, and fever. (wikipedia.org)
  • The possibility of Hirschsprung disease, intussusception, and volvulus must be considered in infants with clinical indications of acute abdominal pathology. (mhmedical.com)
  • Unfortunately, the proliferation of handguns and increased proclivity to urban violence in our society has increased the frequency of penetrating injury in children aged 13-18 years. (medscape.com)
  • Regardless of the classification, the 2 mechanisms of injuries are interrelated in that blunt mechanical force can result in penetrating injury, such as that caused by fender edges, door handles, or shrapnel. (medscape.com)
  • It is divided into two types blunt or penetrating and may involve damage to the abdominal organs. (wikipedia.org)
  • In penetrating injuries, an evisceration (protrusion of internal organs out of a wound) may be present. (wikipedia.org)
  • Antibiotic prophylaxis for penetrating abdominal injuries has not been widely investigated, and there is no evidence to recommend one kind or dosage over another. (spinal-injury.net)
  • In 57 (2.4 percent) of 2,416 patients undergoing laparotomy for penetrating abdominal trauma from 1977 to 1980, an intraabdominal abscess developed in the postoperative period. (nih.gov)
  • Penetrating injuries may or may not penetrate the peritoneum and, even if they do, they may not cause organ injury. (msdmanuals.com)
  • ACS is diagnosed most accurately by measuring intra-abdominal pressures, but in the ED setting, the physician must have high clinical suspicion as measuring intra-abdominal pressure is not always feasible. (acep.org)
  • This report is a retrospective clinical study of 60 patients with abdominal trauma admitted and treated at the department of emergency medicine of DanKuk University hospital during the period from January 1995 to December 1995. (jksem.org)
  • The diagnosis of GI injury based on the clinical findings alone is often difficult. (mhmedical.com)
  • A retrospective observational clinical study in 50 infants with GS using the association of intestinal abnormalities, impossibility of primary closure of the abdominal defect and reoperation necessity as classification criteria for the disease. (bvsalud.org)
  • Splenic injury constitutes up to 49% of visceral injury after blunt trauma. (mhmedical.com)
  • This article provides a comprehensive description of the role of exploratory (diagnostic) laparoscopy) as an alternative to traditional open exploratory laparotomy in the management of certain intra-abdominal conditions. (medscape.com)
  • This type of case aims to show that the auto part contained a design, manufacturing or marketing defect, and that this caused the victim's injury. (manchininjurylaw.com)
  • Incidence and outcome of acute lung injury and acute respiratory misery syndrome in the surgical intensive care unit. (dnahelix.com)
  • While blunt trauma is less likely to result in immediate death, it is more likely to cause multiple organ failures, as well as airway, respiratory, circulatory, neurological, and musculoskeletal impairments, and persistent physical and cognitive abnormalities among survivors. (spinal-injury.net)
  • Due to severe abdominal distention from aerophagia, the patient developed acute abdominal compartment syndrome (ACS) in the ED, and subsequent respiratory and cardiac arrest necessitating intubation, CPR, bedside decompressive laparotomy, further surgical exploration in the OR, and PICU admission. (acep.org)
  • Medical conditions characteristic of respiratory dysfunctions can be lethal as they disrupt the arterial oxygenation level and impair the functional supply of oxygen to major organs. (ceufast.com)
  • Abdominal trauma can be life-threatening because abdominal organs, especially those in the retroperitoneal space, can bleed profusely, and the space can hold a great deal of blood. (wikipedia.org)
  • The testis is a paired, ovoid male reproductive organ that sits in the scrotum, separated from its mate by a scrotal septum. (medscape.com)
  • A total of 257 patients were included to analyze the factors associated with enteral nutrition tolerance in patients with EPSBO and the postoperative day of tolerance to SF + D. RESULTS: The incidence of EPSBO in patients with BBMI was affected by male sex, small bowel organ injury scale (OIS) score, mesentery OIS score, amount of crystalloid, blood transfusion, and postoperative drain removal date. (bvsalud.org)
  • Such evidence would injury and any intra- or postoperative blood have added benefit in counselling couples transfusion due to excessive blood loss regarding the advisability of performing during the operation. (who.int)
  • up to 30 percent of people with such signs have associated internal injuries. (wikipedia.org)
  • Studies on these types of injuries found that external bruising is a strong indicator for internal injury. (coloradoinjurylaw.com)
  • When training the abdominals select exercises that engage the rectus abdominis, transverse abdominis, and obliques (internal and external heads). (tigerfitness.com)
  • Physician delay in the recognition of patients with intraabdominal abscess and in reoperation was a common problem. (nih.gov)
  • Patients who experience significant deceleration often have injuries to other parts of the body, including the thoracic aorta. (msdmanuals.com)
  • BACKGROUND: In patients with blunt injury due to abdominal trauma, the common cause for laparotomy is damage to the small bowel and mesentery. (bvsalud.org)
  • However, EEN in patients with blunt bowel and/or mesenteric injury (BBMI) has not been established. (bvsalud.org)
  • Thousands of patients endure medical injuries every year. (wieandlaw.com)
  • The best way to manage these patients is to be aware of the possibility of bowel injury, re-examine them frequently, and re-image them or even send them for ex-lap if their condition changes . (emdocs.net)
  • However, it is important to remember that a single CT is only a "snapshot," and patients with serious blunt trauma may have occult injuries that destabilize later. (emdocs.net)
  • Seventeen patients (2.0%) required abdominal exploration and all were found to have intraabdominal injuries. (medscape.com)
  • Objective: To develop French guidelines on the management of patients with severe abdominal trauma. (bvsalud.org)
  • Methodology: We retrospectively reviewed the hospital records of patients who were admitted and treated in our hospital with pelvic injuries from February 2012 to January 2015. (bvsalud.org)
  • Inguinal hernias may be direct (direct outpouching of peritoneum and abdominal contents adjacent to the inguinal canal) or indirect (outpouching of peritoneum (vaginal process) and abdominal contents through the inguinal canal. (vin.com)