Intra abdominal trauma. Medical search. Frequent questions

Damage control surgery (DCS) was developed to manage exsanguinating trauma patients, but is increasingly applied to the management of peritoneal sepsis and abdominal catastrophes. (uky.edu)
Amulti-institutional three group propensity score matched case cohort study comparing penetrating trauma (PT-DCS), blunt trauma (BT-DCS), and intraperitoneal sepsis (IPS-DCS) was performed comparing patients treatedwithDSC between 2008 and 2013. (uky.edu)
8. Berger D, Buttenschoen K. Management of abdominal sepsis. (bmj.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)
Dr. Babin's areas of expertise include general and gastrointestinal surgery, intra-abdominal sepsis and infections, trauma, and critical care. (ochsner.org)
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)
Unfortunately, in pathological conditions such as trauma and sepsis, autoregulation is significantly impaired, and blood flow may become directly dependent on perfusion pressure, which therefore must be known. (medicosecuador.com)
Methods This single-center retrospective analysis targeted patients managed with TAC during emergency surgery for trauma or intra-abdominal sepsis between January 2011 and December 2019. (highwire.org)
In 16 patients (trauma 5, sepsis 11) with early anastomosis and 21 patients (trauma 16, sepsis 5) with delayed anastomosis, there was no difference in the infusion volume (p=0.2318) or NPWT output volume (p=0.7128) 48 hours after surgery. (highwire.org)
Il s'agit d'une étude transversale, monocentrique et descriptive, durant 12 mois, incluant les patients âgés d'au moins 18 ans admis en réanimation polyvalente pour un sepsis ou choc septique. (bvsalud.org)

Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. (wikipedia.org)
The injury may present with abdominal pain, tenderness, distension, or rigidity to the touch, and bowel sounds may be diminished or absent. (wikipedia.org)
Examination revealed right sided abdominal tenderness that was maximal in the right iliac fossa with associated guarding and rebound. (bmj.com)
These studies can be helpful in considering other abdominal pathology, such as HELLP syndrome, if there is abdominal pain in addition to, or instead of, uterine tenderness. (medscape.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)
Abdominal examination revealed abdominal tenderness and rigidity in the central and mid-abdomen. (who.int)

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)

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)
Abdominal ultrasound showed a small amount of free fluid around the liver but no definite liver laceration. (bmj.com)
The abdominal views of the focused assessment with sonography in trauma (FAST) examination are helpful in identifying fluid within the peritoneum that may be the result of hemorrhage. (medscape.com)
This study is designed to identify intra-abdominal and pericardial fluid that requires early operative intervention in trauma patients. (medscape.com)
However, the abdominal views are useful in any patient with suspected intra-abdominal free fluid. (medscape.com)
Both abdominal ultrasound and CT scan showed discontinuous cyst wall and intraperitoneal fluid in 100% of cases. (researchsquare.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)
An intra-abdominal abscess is a collection of pus or infected fluid that is surrounded by inflamed tissue inside the belly. (saintpetershcs.com)
A focused assessment with sonography for trauma (FAST) examination of the abdomen demonstrates fluid in Morison's pouch. (mhmedical.com)
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)
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)
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)
Isolated free fluid was seen in 463 (2.8%) of over 16,000 blunt trauma patients scanned. (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)
An abdominal abscess is a pocket of infected fluid and pus located inside the belly (abdominal cavity). (medlineplus.gov)

Blunt abdominal trauma and penetrating injuries of the abdomen most often lead to solid organ injuries. (mhmedical.com)
Abdominal trauma is an injury to the 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)
One of the leading causes of preventable mortality in trauma patients is injuries to the abdomen that go unnoticed. (spinal-injury.net)
Rogers WK, Garcia L. Intra-Abdominal Hypertension, Abdominal Compartment Syndrome, and the Open Abdomen. (medscape.com)
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)
Given that the abdomen is an important source of occult bleeding, routine use of abdominal CT scans has become increasingly common and has predictably yielded many negative studies as well as finding clinically irrelevant abnormalities. (coreem.net)
These data suggest that clinical examination of the abdomen is valid in awake and alert blunt trauma patients, regardless of the presence of other injuries. (coreem.net)
This rule should be used to decrease the rate of CT scans of the abdomen following blunt trauma. (umaryland.edu)
upon opening the abdomen, fecal-contents are observed in abdominal cavity and the area is copiously irrigated. (cdc.gov)

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)
However, the hepatic Hydatid Cyst rupture in the abdominal cavity is a life-threatening incident that requires urgent and multidisciplinary management (emergency physician, radiologists, anesthetists, and surgeons). (researchsquare.com)
Fifteen liver hydatid cyst cases ruptured into the abdominal cavity that underwent urgent surgery were collected over eight years. (researchsquare.com)
Rupture of a hydatid cyst in the abdominal cavity should be evoked in front of acute abdominal pain, especially in endemic areas, and in the presence of an allergic reaction or anaphylactic shock signs. (researchsquare.com)
This pathology continues to have a devastating impact on people's health due to its potentially serious related-complications, especially the rupture into the abdominal cavity. (researchsquare.com)
We excluded from our study: other liver hydatid cyst complications, cyst rupture in an organ or space other than the abdominal cavity, and cases of peritoneal hydatidosis, which witnessed an old and unnoticed rupture in the peritoneal cavity. (researchsquare.com)
Moreover, matters which pours blood to the outside, a large or small volume closed fifth cavity (pleural, abdominal cavity, the cavity to lennogo joint etc. (my-antidepressant.com)
Internal bleeding into closed cavity (ple vralnuyu, abdominal, cardiac shirt cavity Th turnip) is especially dangerous. (my-antidepressant.com)

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)
Factors affecting the successful management of intra-abdominal abscesses with antibiotics and the need for percutaneous drainage. (bmj.com)
Diagnosis and treatment of intra-abdominal abscesses. (bmj.com)
Intra-abdominal abscesses sometimes happen because of another condition. (saintpetershcs.com)
Abdominal abscesses can be caused by a bacterial infection. (saintpetershcs.com)
The right early treatment can greatly improve the outcome for people who have intra-abdominal abscesses. (saintpetershcs.com)
Usually, antibiotics and drainage takes care of abdominal abscesses that have not spread. (medlineplus.gov)

Spleen is the most common cause of massive bleeding in blunt abdominal trauma to a solid organ. (wikipedia.org)
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)
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)
It can involve any abdominal organ. (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)
Timely and accurate diagnosis of intraabdominal organ injuries due to trauma is critical. (arel.edu.tr)
Our aim is to demonstrate a new semi-automated method for measuring periorgan hematoma due to abdominal organ trauma. (arel.edu.tr)
In critically ill trauma victims, hypoperfusion of vital organs may lead to multiple organ systems dysfunction and death. (medicosecuador.com)
CONCLUSION CT is an important imaging technique for diagnosis of organ injuries in patients with abdominal trauma. (ijsr.net)

Zayed, N. O. A. A., P. D. T. A. Radwan, P. D. M. A. Samy, and D. H. al-kadi, Comparison between ultrasound guided unilateral thoracic paravertebral block and thoracic epidural in upper abdominal surgeries , , Cairo , Cairo , 2015. (cu.edu.eg)
Fornari M and Lawson S. Pediatric Blunt Abdominal Trauma and Point of Care Ultrasound. (umaryland.edu)
Children were undergone abdominal ultrasound and abdominal CT scan was done at the discretion of the treating physicians and according to the CT protocols. (ac.ir)

abdominal trauma, surgery. (edu.pk)
Expected outcomes after the use of DCS for trauma and emergency general surgery are quite different. (uky.edu)
He completed his General Surgery residency at Ochsner Medical Center and his fellowship in Trauma/Critical Care Surgery at LSU Health Sciences Center. (ochsner.org)
He is the medical director of vascular surgery unite at Örebro University Hospital and of the EVTM's (EndoVascular Resuscitation and Trauma Management) research group. (oru.se)
This entails extensive clinical and research practice within vascular surgery, surgery, intensive care and trauma. (oru.se)
Trauma surgery & acute care open, 8 (1). (oru.se)
Dr. Mattox is past President of the American Association for the Surgery of Trauma and Secretary-Treasurer of the Michael E. DeBakey International Surgical Society. (bcm.edu)
Dr. Mattox has served on the Board of Directors of the Rotary Club of Houston, Doctors' Club of Houston, Wayland Baptist University, the American Association for the Surgery of Trauma, the Southeast Texas Trauma Regional Advisory Council, the American College of Surgeons Board of Governors, and serves as Chairman of the Board of the John P. McGovern Museum for Health & Medical Science. (bcm.edu)
Abdominal surgery or trauma can put you at risk for an intra-abdominal abscess. (saintpetershcs.com)
RESULTS Among the 50 cases studied, 46 had positive CT findings of abdominal trauma, out of which 25 patients underwent surgery and the remaining were managed conservatively. (ijsr.net)
However, before the CT scan was performed, the surgery resident or attending documented the abdominal exam, specifically "positive" versus "negative" for their concern for intraabdominal injuries. (coreem.net)
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)
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)
Retroperitoneal neoplasms are more common in familial polyposis coli and Gardner syndrome after abdominal surgery than in other conditions. (medscape.com)
Although desmoid tumors most commonly arise from the rectus abdominis muscle in postpartum women and in scars due to abdominal surgery, they may arise in any skeletal muscle. (medscape.com)

Physician delay in the recognition of patients with intraabdominal abscess and in reoperation was a common problem. (nih.gov)
the intestine is the least common source of hemoperitoneum in patients suffering blunt abdominal trauma. (mhmedical.com)
Patients with trauma-related perforation of the bowel are susceptible to peritonitis, but the clinical manifestations of this complication are often delayed. (mhmedical.com)
intra-abdominal injury' requiring celiotomy in blunt trauma patients. (edu.pk)
Despite this difference, prompt abdominal closure at the earliest possible opportunity afforded the best outcome in patients managed via DCS. (uky.edu)
Intraabdominal infection: differences in presentation and outcome between younger patients and the elderly. (bmj.com)
APP should be maintained above 50-60 mm Hg in patients with IAH/ACS [Abdominal perfusion pressure (APP) = mean arterial pressure (MAP) - IAP]. (medscape.com)
Intra-abdominal hypertension and abdominal compartment syndrome in patients admitted to the ICU. (medscape.com)
More stable patients can have their abdominal and/or pelvic ultrasonography confirmed with an official study performed by a radiologist. (medscape.com)
This course is designed for all healthcare professionals involved in the care of pediatric patients, especially those in trauma care centers. (netce.com)
A 12-year experience of endovascular repair for ruptured abdominal aortic aneurysms in all patients. (oru.se)
Two patients were admitted with abdominal trauma, and acute abdominal pain was the common consultation's reason. (researchsquare.com)
All patients underwent unroofing procedure associated with intra-operative peritoneal lavage and external drainage. (researchsquare.com)
Two patients (13.33%) were abdominal trauma victims. (researchsquare.com)
All patients had acute abdominal pain, twelve patients had generalized abdominal pain, and three had localized pain in the right upper abdominal quadrant. (researchsquare.com)
Patients with abdominal pain are no longer routinely admitted for serial abdominal exams to evaluate for appendicitis, because now we can just get the CT. (vectorblog.org)
With these types of clinical decision rules, clinicians can hopefully begin to further standardize the evaluation and care of pediatric trauma patients. (vectorblog.org)
Objective: To develop French guidelines on the management of patients with severe abdominal trauma. (bvsalud.org)
Use of 911 for Rapid Re-Triage of Critical Trauma Patients. (ucla.edu)
[ 8 ] In a retrospective cohort of 370 patients undergoing emergency major abdominal procedures, Wisely et al reported shorter hospital stays and better outcomes in the ERAS group. (medscape.com)
Patients who sustain major trauma may become hemodynamically unstable at various times during their course. (medicosecuador.com)
Intra-arterial blood pressure measurement via a catheter-transducer system is extremely reliable if the system is properly set up, and should be used whenever possible in hemodynamically unstable patients. (medicosecuador.com)
Determine the usefulness of MDCT findings in deciding the management of patients with blunt abdominal trauma.2. (ijsr.net)
How accurate is the clinical abdominal examination in predicting or excluding the presence of intraabdominal trauma in patients with distracting injuries? (coreem.net)
All hemodynamically stable blunt trauma activation patients in a single center (the University of South Alabama Trauma Center) over the course of one year. (coreem.net)
Patients underwent abdominal CT scanning routinely, as prior to the study. (coreem.net)
Sensitivity and specificity of abdominal examination for surgically significant and transfusion-requiring abdominal injuries in alert trauma patients with and without distracting injuries. (coreem.net)
56.2% of trauma patients entered into the study had distracting injuries. (coreem.net)
Study was underpowered and would have needed to enroll 7,000 patients to prove or disprove equivalence of abdominal examination in these patients. (coreem.net)
This study presents a change in trauma diagnostics and explores the idea of selective abdominal CT scans in hemodynamically stable trauma patients with distracting injuries-or those who are intoxicated-with GCS of 14 or 15. (coreem.net)
Although some intraabdominal injuries were identified via CT scan in patients with negative abdominal examinations (with and without distracting injuries), none required urgent surgical intervention or transfusion. (coreem.net)
Which pediatric patients with blunt abdominal trauma are at very low risk of significant intraabdominal injury (and so don't need a CT scan)? (umaryland.edu)
In 2013, the Pediatric Emergency Care Applied Research Network developed a prediction rule to identify patients who were at low risk of requiring acute intervention after blunt abdominal trauma. (umaryland.edu)
It is associated with increased ( ~RR=5.5 ) requirement for acute interventions such as therapeutic laparotomy, angiographic embolisation, blood transfusion for intra-abdominal haemorrhage, administration of IV fluids for two or more nights in patients with pancreatic or gastrointestinal injuries, as well as an increased risk of death. (dontforgetthebubbles.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)
Seventeen patients (2.0%) required abdominal exploration and all were found to have intraabdominal injuries. (medscape.com)
A study of 1400 patients over a 3-year period at a major trauma center concluded that SBS was associated with a higher incidence of IAI. (medscape.com)

Select use (rather than routine use) of abdominal CT scans has been shown to be effective in identifying abdominal injuries, but the presence of distracting injuries is thought to negate the utility of the clinical examination. (coreem.net)
Distracting injuries do not seem to diminish the efficacy of clinical abdominal examination for the diagnosis of clinically significant abdominal injury. (coreem.net)
Conclusion Data from this study solidify the relationship between specific physical examination findings and the need for abdominal exploration after MVC in children. (medscape.com)

Abdominal injury may result from child abuse and is the second leading cause of child abuse-related death, after traumatic brain injury. (wikipedia.org)
When it comes to child abuse-related deaths, abdominal injuries are second only to traumatic brain injuries as the major cause. (spinal-injury.net)
Traumatic brain injuries (TBIs) and intra-abdominal injuries (IAIs) are 2 leading causes of traumatic death and disability in children. (researchprotocols.org)
The current work is a cross sectional descriptive study of cases admitted to Kasr Al-Ainy hospital during the period from 1st of January to 31st of December 2014 with traumatic abdominal injuries. (cu.edu.eg)
These disorders can be precipitated by a single traumatic event such as twisting, slipping, or lifting, or by the cumulative effect of repetitive trauma. (cdc.gov)

The seat belt sign - an "area of ecchymoses, erythema, or abrasions sustained secondary to seat belt use" - has been associated with an increased risk of intra-abdominal and lumbar spine injury . (dontforgetthebubbles.com)
The combination of a seat belt sign, intra-abdominal injury and spinal injury is known as seat belt syndrome . (dontforgetthebubbles.com)

This decrease reflects, in part, the technologic advancements that allow today's obstetrician to recognize birth trauma risk factors using ultrasonography and fetal monitoring prior to attempting vaginal delivery. (medscape.com)
Abdominal ultrasonography demonstrated parallel paired lines like "railway tracks" in the intestinal lumen that was suggestive of worms. (who.int)

Bowel and mesenteric injuries due to abdominal trauma are uncommon, but are potentially life-threatening. (mhmedical.com)
Our client was taken to hospital suffering injuries including small bowel, rib fractures, fractures to the toes, significant blood loss, fractured sternum and consequential psychological injury and trauma. (lhd.com.au)
Damage occurs to intra-abdominal contents such as the mesentery and bowel due to shearing and compressive type forces acting on the soft tissues. (dontforgetthebubbles.com)

this sign is associated with a high rate of injury to the abdominal organs. (wikipedia.org)
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)
Children are especially vulnerable to abdominal injury from seat belts, because they have softer abdominal regions and seat belts were not designed to fit them. (wikipedia.org)
Falls and sports are also frequent mechanisms of abdominal injury in children. (wikipedia.org)
The spleen and the kidneys are only two of the abdominal organs that might be damaged by a sports injury. (spinal-injury.net)
Abdominal vascular injury and specifically injury to the visceral arteries occurs uncommonly after blunt trauma. (bmj.com)
2, 3 Blunt trauma is the mechanism of injury in 23% of cases. (bmj.com)
PECARN recently completed a study of over 12,000 children under 18 to develop a clinical decision rule for evaluating intra-abdominal injury due to blunt abdominal trauma. (vectorblog.org)
Similar to the TBI decision rule, this abdominal injury decision rule will be an important tool to help guide clinicians in the most appropriate use of CT scans in their efforts to care for children and adolescents with blunt abdominal trauma. (vectorblog.org)
Avoiding the CT scans in those at a low risk for TBI and intra-abdominal injury will be an important part of reducing CT use in children and, consequently, their future risk of lethal malignancies. (vectorblog.org)
Lois K. Lee, MD, MPH, is a board certified pediatric emergency medicine specialist with a clinical and research focus on pediatric trauma care and injury prevention. (vectorblog.org)
As a staff physician in the Emergency Department at Children's Hospital Boston, she pursues her interest in pediatric trauma care and injury prevention through teaching, research, and advocacy. (vectorblog.org)
The addition of PO contrast does not improve detection of intra-abdominal injury and should be avoided unless directed by the Trauma Surgical team. (chop.edu)
Approach to the Trauma Patient Injury is the number one cause of death for people aged 1 to 44. (msdmanuals.com)
INTRODUCTION Abdominal injury constitutes a significant portion of all blunt and penetrating body injuries. (ijsr.net)
As frequency of intra-abdominal injuries continues to increase worldwide, management inpatients with suspected abdominal injury is getting more complex. (ijsr.net)
CT is an important and fast technique which gives rapid information on the type of abdominal injury and helps in management of the patient. (ijsr.net)
Splenic injury constitutes up to 49% of visceral injury after blunt trauma. (mhmedical.com)
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)
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)
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)
Background: Children with blunt abdominal trauma (BAT) can be risk stratified for intra-abdominal injury (IAI) through a combination of readily accessible clinical variables. (ac.ir)
The tests obtained to assess for an IAI were including hematocrit (HCT), amylase, aspartate aminotransferase (AST) or alanine aminotransferase (ALT) and urinalysis (U/A). The outcome were any IAI and intra-abdominal injury undergoing acute intervention (IAI-I). Results: We enrolled 101 children with a median age of 6.75 ± 3.2 years. (ac.ir)
[ 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)
There is insufficient scientific evidence to conclude that wearing back belts reduces risk of injury to the back based on changes in intra-abdominal pressure (IAP) and trunk muscle electromyography (EMG). (cdc.gov)

The victim was rendered unconscious by the beating, and he died later that day as a result of acute massive intra-abdominal hemorrhage due to blunt force trauma. (masscases.com)
Hemorrhage is internal (except for relatively small amounts of external hemorrhage due to body wall lacerations resulting from penetrating trauma). (msdmanuals.com)

It is divided into two types blunt or penetrating and may involve damage to the abdominal organs. (wikipedia.org)
Sports injuries can affect abdominal organs such as the spleen and kidneys. (wikipedia.org)
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)
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)
One or more of the intra-abdominal organs may be injured in abdominal trauma. (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)
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)

Gunshot wounds that penetrate the peritoneum result in significant damage to major intra-abdominal structures in some 90 percent of cases. (wikipedia.org)
Major intra-abdominal tissues are usually severely damaged by gunshot wounds that pierce the peritoneum, in about 90% of instances. (spinal-injury.net)

Therefore, to maximize precision and minimize the overuse of CT, the Pediatric Emergency Care Applied Research Network (PECARN) previously derived clinical prediction rules for identifying children at high risk and very low risk for IAIs undergoing acute intervention and clinically important TBIs after blunt trauma in large cohorts of children who are injured. (researchprotocols.org)
This study aimed to validate the IAI and age-based TBI clinical prediction rules for identifying children at high risk and very low risk for IAIs undergoing acute intervention and clinically important TBIs after blunt trauma. (researchprotocols.org)

Injuries associated with intra-abdominal trauma include rib fractures, vertebral fractures, pelvic fractures, and injuries to the abdominal wall. (wikipedia.org)
A standard trauma series of radiographs revealed a fracture of the right hemi-pelvis, through the iliac wing and down towards the sciatic notch, together with fractures of all four pubic rami. (bmj.com)
Burns associated with trauma including fractures, head injuries, intra-abdominal bleed etc. (who.int)

Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. (bmj.com)
Doctors need to be concerned about the possibility of a ruptured spleen with these symptoms and Include in their differential diagnosis abdominal trauma or an intra-abdominal process such as a ruptured spleen. (millerandzois.com)
It is a highly sensitive imaging modality for the diagnosis of abdominal injuries. (ijsr.net)

What are the symptoms of an intra-abdominal abscess? (saintpetershcs.com)
Other symptoms of an abdominal abscess may be a lot like symptoms of having the flu. (medlineplus.gov)

Blunt abdominal trauma rarely causes isolated vascular injuries. (bmj.com)
It is estimated that the superior mesenteric artery branch is affected in 9% of cases of abdominal vascular trauma. (bmj.com)
4 With blunt trauma, the abdominal viscera are forced into the pelvis and subsequently pull on their vascular attachment. (bmj.com)
In cooperation with other colleagues, Tal Hörer has been principal editor of and authored textbooks such as EVTM (Springer 2019) and TopStent (USÖ 2017), and has contributed with chapters in other textbooks, including the DSTC manual, Akutkirurgis operationsmanual (Studentsliteratur), and RICH vascular trauma. (oru.se)
Rasmussen TE, Woodson J, Rich NM, Mattox KL " Vascular trauma at a crossroads. . (bcm.edu)
Meagher DP, Defore WW, Mattox KL, Harberg FJ " Vascular trauma in infants and children. . (bcm.edu)

The possibility of Hirschsprung disease, intussusception, and volvulus must be considered in infants with clinical indications of acute abdominal pathology. (mhmedical.com)
However, identifying serious intra-abdominal pathology due to trauma can be a challenge. (cu.edu.eg)

Intra-abdominal infections. (bmj.com)
Recent studies have evaluated outcomes associated with duration of antimicrobial treatment for complicated intra-abdominal infections (cIAI). (bvsalud.org)

Safety and Efficacy of Hospital Utilization of Tranexamic Acid in Civilian Adult Trauma Resuscitation. (ucla.edu)

Diagnostic peritoneal lavage in blunt abdominal trauma. (edu.pk)

Nowadays, cases of abdominal trauma are increasing at an alarming rate in all world communities. (cu.edu.eg)

These could include abdominal pain and distention, nausea and vomiting, altered mental status, hemodynamic instability, and even shock. (acep.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)

Retroperitoneal hemorrhage arises after trauma, ruptured aortic aneurysm, malignancy, pancreatitis, or as a complication of anticoagulant medication or endovascular procedures (e.g., coronary catheterization). (mhmedical.com)

In addition to an evaluation, investigations like a CT scan or Focused Assessment of Sonography in Trauma (FAST) may detect the existence of injuries. (spinal-injury.net)
When does a trauma patient need a CT scan? (vectorblog.org)
According to our statistical calculations, they are also 99.9 percent effective at identifying children with head trauma who do not require a CT scan. (vectorblog.org)

Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. (medscape.com)
Increased pressure within the abdominal compartment: intra-abdominal hypertension and the abdominal compartment syndrome. (medscape.com)
Intra-abdominal hypertension and abdominal compartment syndrome: a current review. (medscape.com)
Update from the Abdominal Compartment Society (WSACS) on intra-abdominal hypertension and abdominal compartment syndrome: past, present, and future beyond Banff 2017. (medscape.com)
Intra-abdominal hypertension and abdominal compartment syndrome in pediatrics. (medscape.com)
Rezeni N, Thabet F. Awareness and management of intra-abdominal hypertension and abdominal compartment syndrome by paediatric intensive care physicians: a national survey. (medscape.com)
Incidence, Risk Factors, and Prognosis of Intra-Abdominal Hypertension in Critically Ill Children: A Prospective Epidemiological Study. (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)

Acute abdominal pain is one of the most frequent presentations of children visiting emergency departments or outpatient clinics. (mhmedical.com)
He initially complained of right sided abdominal and leg pain. (bmj.com)
The primary symptom of a ruptured spleen following a car accident will be acute pain in the upper left abdominal area. (millerandzois.com)
A 19-year-old female with past medical history of aerophagia, autism, developmental delay, seizure disorder, chronic constipation presented to the ED complaining of abdominal pain. (acep.org)
Parents reported 2-3 days of worsening abdominal distention and pain, decreased stooling, and decreased activity. (acep.org)
Her ROS was positive for abdominal pain and nausea, and negative for fever, vomiting, diarrhea, hard stool or blood in the stool. (acep.org)
A 12-year-old boy from Tokh El Khail, Minia governorate, Egypt, was admitted to the emergency department of Minia University Hospital, Minia, Egypt, on 10 March 2012, with acute colicky periumbilical abdominal pain not referred to other sites, vomiting and constipation for 3 days. (who.int)
Moreover, there were repeated attacks of vague abdominal pain, colic and some attacks of diarrhoea. (who.int)

World Society of the Abdominal Compartment Syndrome. (medscape.com)
Newman RK, Dayal N, Dominique E. Abdominal Compartment Syndrome. (medscape.com)
Decompressive laparotomy for abdominal compartment syndrome. (medscape.com)
Dayal N, Dominique E. Compartment Syndrome, Abdominal. (medscape.com)
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)

Abdominal drainage to prevent intra-peritoneal abscess after appendectomy for complicated appendicitis. (bmj.com)

As mentioned above, the triad of injuries it refers to are abdominal wall bruising and intra-abdominal and lumbar spine injuries. (dontforgetthebubbles.com)
Rapid deceleration then leads to the child hyperflexing their torso over the belt, leading to compression of the abdominal contents, with flexion-distraction forces typically acting on the lumbar spine. (dontforgetthebubbles.com)

The fragile nature of the spleen combined with its location under the rib cage makes it particularly vulnerable to external force or trauma. (millerandzois.com)

From 2004-2006, PECARN enrolled 42,412 children under 18 to derive and validate age-specific clinical prediction rules that would help identify those children at very low risk of clinically important TBI after a blunt head trauma, and who may not need a CT as part of their evaluation. (vectorblog.org)
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)

Liver Trauma: a 10-year experience. (edu.pk)

Objectives During temporary abdominal closure (TAC) with damage control laparotomy (DCL), infusion volume and negative-pressure wound therapy (NPWT) output volume are associated with the success and prognosis of primary fascial closure. (highwire.org)

Trauma is the primary cause of mortality and morbidity in the pediatric population. (netce.com)
This course will focus on the patterns of childhood trauma and measures to reduce the mortality and morbidity of these devastating injuries. (netce.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)
Abdominal trauma is among the leading causes of morbidity and mortality in all age groups in the world. (cu.edu.eg)

A case is presented of rupture of a branch of the superior mesenteric artery (iliocolic artery) after blunt trauma. (bmj.com)
Blunt or penetrating trauma may lacerate or rupture intra-abdominal structures. (msdmanuals.com)

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)
During its journey it must pass through the peritoneum, abdominal wall via the inguinal canal, and into the scrotal pouch. (medscape.com)

He is heavily interested in abdominal wall reconstruction, intensive care performance improvement, and resident education. (ochsner.org)
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)
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)
Abdominal wall and retroperitoneal hemorrhage can be related to intramuscular injections, or to anticoagulant medications, with or without antecedent trauma. (mhmedical.com)
Drains are secured and brought out through the lower right anterior abdominal wall and secured to bulb suction. (cdc.gov)
Although desmoid tumors can arise in any skeletal muscle, they most commonly develop in the anterior abdominal wall and shoulder girdle. (medscape.com)

At this point, the trauma patient is like any other hemodynamically unstable, critically ill patient in the intensive care unit (ICU). (medicosecuador.com)

The Surgical Infection Society revised guidelines on the management of intra-abdominal infection. (bmj.com)
This report was followed by a few other studies that evaluated the applicability and feasibility of ERAS in emergency surgical settings ranging from simple closure of a perforated peptic ulcer to major abdominal operations. (medscape.com)
A history of trauma (often surgical) to the site of the desmoid tumor is elicited in 1 in 4 cases. (medscape.com)

Anatomy10

Diseases25

Analytical, Diagnostic and Therapeutic Techniques and Equipment21

Phenomena and Processes2

Disciplines and Occupations1

Technology, Industry, Agriculture1

Information Science2

Health Care14

Geographicals1

Sepsis10

Tenderness6

Laparotomy for penetrati1

Fluid18

Abdomen13

Cavity9

Abscesses7

Organ9

Ultrasound3

Surgery18

Patients38

Examination3

Traumatic5

Seat belt sign2

Ultrasonography2

Bowel3

Injury25

Hemorrhage due2

Organs7

Gunshot wounds2

Intervention2

Fractures3

Diagnosis3

Symptoms2

Vascular6

Pathology2

Infections2

Resuscitation1

PERITONEAL LAVAGE1

Cases of abdominal1

Include abdominal pain1

Penetrating abdominal injuries1

Aortic Aneurysm1

Scan3

Hypertension8

Pain8

Compartment Syndrome5

Appendicitis1

Lumbar spine2

Spleen1

Clinical2

Liver1

Prognosis1

Mortality4

Rupture2

Inguinal canal2

Wall7

Hemodynamically1

Surgical3