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Ann Med Surg (Lond) 2022 Jun 13;78:103564. Epub 2022 Apr 13.

Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.

Background: Pancreatic trauma occurs in 0.2-2% of patients with blunt trauma and 1-12% of patients with penetrating trauma. The mortality and morbidity rates range from 9 to 34% and 30-60% respectively. Read More

Khirurgiia (Mosk) 2022 (5):86-96

Volgograd State Medical University, Volgograd, Russia.

Objective: To analyze the effectiveness of laparotomy and laparoscopy in the treatment of patients with blunt abdominal trauma.

Material And Methods: Literature searching was conducted in accordance with the recommendations «Preferred Reporting Items for Systematic Reviews and Meta-Analyses» between January 2015 and August 2021. We used the electronic databases PubMed, Cochrane Library, Scopus, eLibrary. Read More

Am J Emerg Med 2022 May 1;57:133-137. Epub 2022 May 1.

Emergency Department, Eskisehir Osmangazi University, Eskisehir, Turkey.

Background: Computed tomography of the abdomen (CT) is used as the gold standard for detecting solid organ injuries (SOI) after blunt abdominal trauma (BAT). However, patient selection for CT is still controversial due to its potential risks. In this study, we aimed to investigate the usefulness of laboratory tests in the detection or exclusion of SOI in pediatric patients evaluated in the emergency department due to BAT. Read More

Case Rep Oncol 2022 Jan-Apr;15(1):277-284. Epub 2022 Mar 21.

Department of Hematology/Oncology, Rocky Mountain Regional VA, Aurora, Colorado, USA.

Splenic rupture can be categorized into two groups: traumatic and atraumatic. Traumatic rupture is frequently associated with blunt abdominal trauma, while atraumatic splenic rupture (ASR) is more uncommon and has been associated with both benign and malignant hematological disorders. In general, most cases of splenic rupture are managed with splenectomy, which carries significant mortality and morbidity; more recently, splenic artery embolization (SAE) has become a mainstay of management particularly after traumatic rupture. Read More

Trauma Surg Acute Care Open 2022 19;7(1):e000909. Epub 2022 Apr 19.

Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Cureus 2022 Mar 31;14(3):e23717. Epub 2022 Mar 31.

Gastroenterology, University of Houston / HCA Healthcare Kingwood, Houston, USA.

Acute pancreatitis is an inflammatory condition affecting a large population and resulting in one of the most common causes of gastrointestinal hospitalizations in the United States. The pathogenesis resulting in pancreatic injury has multiple etiologies with gallstones and alcohol consumption contributing to a large majority of cases. Consequently, one uncommon cause of acute pancreatitis, direct abdominal trauma, often gets overlooked. Read More

Am Surg 2022 May 3:31348221095157. Epub 2022 May 3.

Department of Surgery, 70274University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USA.

Unfallchirurg 2022 May 2. Epub 2022 May 2.

München Klinik Harlaching, München Klinik gGmbH, Sanatoriumsplatz 2, 81545, München, Deutschland.

Life-threatened injured patients who suffer a cardiovascular arrest after a trauma are still enormously challenging for both the paramedics and the trauma team in the clinic. This case illustrates the treatment of a 16-year-old boy who suffered a blunt abdominal trauma with a traumatic cardiac arrest followed by an open resuscitation after clamshell thoracotomy. Subsequently, the treatment after damage control is discussed regarding the current literature and recommendations for treatment. Read More

J Vasc Interv Radiol 2022 05;33(5):505-509

Department of Radiology, Alfred Health, Melbourne, Victoria, Australia; Department of Surgery, Monash University, Melbourne, Victoria, Australia; National Trauma Research Institute, Melbourne, Victoria, Australia. Electronic address:

Splenic artery embolization (SAE) plays a critical role in the treatment of high-grade splenic injury not requiring emergent laparotomy. SAE preserves splenic tissue, and growing evidence demonstrates preserved short-term splenic immune function after SAE. However, long-term function is less studied. Read More

Chin J Traumatol 2022 Apr 13. Epub 2022 Apr 13.

Haepato-Biliary-Pancreatic Unit, Hammersmith Hospital. Imperial College, London, W120TS, UK.

Purpose: Liver is the most frequently injured organ in abdominal trauma. Today non-operative management (NOM) is considered as the standard of care in hemodynamically stable patients, with or without the adjunct of angioembolisation (AE). This systematic review assesses the incidence of complications in patients who sustained liver injuries and were treated with simple clinical observation. Read More

Cir Pediatr 2022 Apr 1;35(2):80-84. Epub 2022 Apr 1.

Pediatric Surgery Department. Parc Taulí Healthcare Corporation Consortium. Sabadell, Barcelona (Spain).

Introduction: Splenic and hepatic pseudoaneurysm (PA) is a rare arteriovenous injury that may occur following abdominal trauma. The most frequent complication of PA is late rupture, which can lead to hemodynamic instability. The objective of this study was to describe our experience in the management of visceral PA. Read More

Ulus Travma Acil Cerrahi Derg 2022 Apr;28(4):529-536

Department of Emergency Medicine, Kocaeli University Faculty of Medicine, Kocaeli-Turkey.

Background: The Pediatric Emergency Care Applied Research Network (PECARN) developed a clinical decision rule to identify children at low risk for intra-abdominal injury requiring acute intervention (IAI-I) for reducing unnecessary radiation exposure of ab-dominal computed tomography (CT) after blunt torso trauma. This study aimed to compare the PECARN decision rule with clinician suspicion in identifying children at low risk of intra-abdominal injuries that an abdominal CT scan can be safely avoided.

Methods: This study is a retrospective review of children with blunt torso trauma in an academic emergency department (ED) between 2011 and 2019. Read More

Am Surg 2022 Apr 28:31348221091942. Epub 2022 Apr 28.

Department of Trauma Surgery, Tower Health, 6823Reading Hospital, Reading, PA, USA.

Liver injuries after blunt abdominal trauma are very common. Non-operative approaches to management are now the standard of care for many patients with up to and including grade V liver injuries. However, the long-term complications associated with coil embolization can be challenging to manage. Read More

ANZ J Surg 2022 Apr 12. Epub 2022 Apr 12.

Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.

Background: The impact of obesity on trauma outcomes had been equivocal and the majority of these studies were conducted in the Western population. The aim of our study is to evaluate the impact of obesity on morbidity and mortality in Singaporean patients after trauma.

Methods: A retrospective case control study of trauma patients admitted to a tertiary institution was performed. Read More

Int J Surg Case Rep 2022 Apr 2;93:107025. Epub 2022 Apr 2.

Royal Darwin Hospital, Northern Territory, Australia.

Heterotopic pregnancy is a rare occurrence whereby a concurrent intrauterine and extrauterine pregnancy exists. It is a difficult diagnosis to make early, and often associated with significant morbidity and mortality from complications if diagnosed late. In this report, we present a rare case of heterotopic pregnancy in a 25-year-old woman who presented with abdominal pain following blunt abdominal trauma, and ultrasound showing haemoperitoneum and a viable intrauterine 10-week gestation. Read More

Ann Ital Chir 2022 ;93:174-177

Isolated small bowel trauma after blunt abdominal trauma is rare and diagnosis may be difficult. The method used in the diagnostic is computed tomography so there is no consensus on this issue. Difficulty in diagnosis and delay in treatment can cause increased morbidity and mortality. Read More

JAMA Surg 2022 Apr 27. Epub 2022 Apr 27.

Departments of Critical Care Medicine, Medicine and Community Health Sciences, O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada.

Importance: The use of quality indicators has been shown to improve injury care processes and outcomes. However, trauma quality indicators proposed to date exclusively target the underuse of recommended practices. Initiatives such as Choosing Wisely publish lists of practices to be questioned, but few apply to trauma care, and most have not successfully been translated to quality indicators. Read More

Clin Radiol 2022 Apr 23. Epub 2022 Apr 23.

Centre for Blast Injury Studies, Imperial College London, London, UK; Centre for Defence Radiology, HMS Nelson, Portsmouth, Hampshire, UK.

Aim: To evaluate the efficacy of Focused Assessment with Sonography in Trauma (FAST) in a paediatric population with a substantial proportion of penetrating abdominal injuries.

Materials And Methods: FAST and computed tomography (CT) abdomen findings were compared for 98 children who presented to Camp Bastion during the war in Afghanistan in 2011. FAST performance was compared to the reference standard of free fluid detected on CT. Read More

World J Emerg Surg 2022 04 25;17(1):19. Epub 2022 Apr 25.

Division of General Surgery, Department of Surgery, The Ottawa Hospital, 725 Parkdale Avenue, Ottawa, ON, K1Y 1J8, Canada.

Background: Blunt abdominal solid organ injury is common and is often managed nonoperatively. Clinicians must balance risk of both hemorrhage and thrombosis. The optimal timing of pharmacologic venous thromboembolism prophylaxis (VTEp) initiation in this population is unclear. Read More

Int J Surg Case Rep 2022 Apr 5;94:107044. Epub 2022 Apr 5.

Department of General Surgery, L.N. Medical College & Research Center, Bhopal, M.P. 462042, India. Electronic address:

Introduction And Importance: Solid pseudopapillary neoplasm (SPN) of pancreas is a rare neoplasm with very low malignant potential. It mainly affects females in third decade of life and has favourable prognosis.

Case Presentation: We report a case where a 17-years old girl presented with history of blunt abdominal trauma with handlebar of bicycle 6 months back, following which she developed abdominal pain and fullness in epigastrium. Read More

Int J Surg Case Rep 2022 Mar 30;94:107005. Epub 2022 Mar 30.

Department of Urology, Faculty of Medicine University of Padjadjaran, Hasan Sadikin Hospital Bandung, Bandung, West Java, Indonesia.

Introduction: Kidneys are one of the most commonly affected retroperitoneal organ in trauma cases despite its relatively well-protected location. Renal trauma occurs in 80-95% of urogenital trauma cases and 8-10% of abdominal blunt trauma. Renal trauma in hydronephrotic kidney due to ureteropelvic junction obstruction (UPJO) is a rare entity, despite of high risk of trauma urogenital due to large size and thin parenchyma. Read More

J Visc Surg 2022 Apr 19. Epub 2022 Apr 19.

Department of Surgery, Trauma Center, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea. Electronic address:

Introduction: The standard of care for intraperitoneal injury in hemodynamically stable patients after blunt abdominal trauma has been replaced by non-operative management (NOM). However, selective NOM, depending on the situation, seems necessary in determining the treatment plan. In this study, we attempted to identify risk factors for surgical or angiographic intervention (SAI) in hemodynamically stable blunt abdominal trauma patients. Read More

Ann Vasc Dis 2022 Mar;15(1):1-7

Division of Vascular & Endovascular Surgery, Department of Surgery, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

Isolated superior mesenteric artery dissection (ISMAD) is a rare pathology with multifactorial etiology. The aim of this article is to provide a narrative review of the latest literature about ISMAD. Case reports, series, and recent meta-analyses were included. Read More

J Emerg Trauma Shock 2022 Jan-Mar;15(1):12-16. Epub 2022 Apr 4.

Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Tokyo, Japan.

Introduction: We retrospectively investigated prognostic factors for severe abdominal trauma patients evacuated by a physician-staffed helicopter emergency medical service (HEMS) and ground ambulance using the Japan Trauma Data Bank (JTDB).

Methods: The study period was from January 2004 to May 2019. The subjects were divided into two groups, according to the type of outcome: the Mortality group, which included patients who ultimately died, and the Survival group, which included patients who obtained a survival outcome. Read More

J Surg Res 2022 Aug 12;276:340-346. Epub 2022 Apr 12.

Division of Trauma and Critical Care, Department of Surgery, University of California San Francisco, San Francisco, California.

Introduction: Predicting failure of nonoperative management (NOM) in splenic trauma remains elusive. Shock index (SI) is an indicator of physiologic burden in an injury but is not used as a prediction tool. The purpose of this study was to determine if elevated SI would be predictive of failure of NOM in patients with a blunt splenic injury. Read More

J Am Coll Surg 2022 May;234(5):872-880

From the Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, CA (Schellenberg, Owattanapanich, Magee, Inaba).

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) achieves temporary hemorrhage control via aortic occlusion. Existing REBOA literature focuses on blunt trauma without a clearly defined role in penetrating trauma. This study compared clinical/injury data and outcomes after REBOA in penetrating vs blunt trauma. Read More

Kardiochir Torakochirurgia Pol 2022 Mar 24;19(1):28-35. Epub 2022 Mar 24.

Directorate of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Introduction: Diaphragmatic injuries may be associated with thoracoabdominal blunt or penetrating traumas. The diagnosis is often delayed, despite the availability of several medical imaging modalities. The surgical management remains controversial, in terms of the choice of surgical approach and the surgical repair technique. Read More

Am Surg 2022 Apr 7:31348221087354. Epub 2022 Apr 7.

Division of Pediatric Surgery, 8083University of Mississippi Medical Center, Jackson, MS, USA.

Blunt abdominal trauma due to bicycle accident is a common occurrence in the pediatric population; however, traumatic abdominal wall hernia as the result of blunt trauma is a rare presentation. Abdominal wall injuries can be isolated or associated with multiple intra-abdominal pathologies. A high index of suspicion is essential for prompt intervention, especially when there is concurrent intra-abdominal pathology. Read More

Injury 2022 Mar 26. Epub 2022 Mar 26.

Department of General Surgery, Trauma Surgery Unit, Hospital Sultanah Aminah, Jalan Persiaran Abu Bakar Sultan, Johor Bahru 80100, Malaysia; Ministry of Health, Malaysia, Federal Government Administrative Centre, Putrajaya 62514, Malaysia.

Introduction: The first trauma surgery unit in Malaysia was established in 2011. After 10 years, we examine our experience in the management, and outcomes of blunt liver, spleen, and kidney injuries.

Methods: This is a cross-sectional study of patients with blunt liver, spleen, and kidney injuries in a level 1 trauma centre in Malaysia between January 2018 to June 2021. Read More

Radiol Case Rep 2022 May 25;17(5):1741-1744. Epub 2022 Mar 25.

Emergency Radiology Division, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Morocco 1, quartiers des hôpitaux, Casablanca, Morocco, 20100.

Splenic rupture is most commonly encountered after blunt abdominal trauma. Spontaneous atraumatic splenic rupture is a rare but dramatic occurrence that is most commonly attributed to infection or neoplasia. We report the case of a 27-year-old female patient without pathological history. Read More