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Int J Surg Case Rep 2021 Apr 27;82:105901. Epub 2021 Apr 27.

Dr George Mukhari Academic Hospital, South Africa.

Introduction: Intraperitoneal bladder rupture requires surgical repair (1). Historically these injuries were treated via laparotomy and open repair (1). There are only a few case reports of laparoscopic bladder repair reported in the literature. Read More

Pol Przegl Chir 2021 Feb;93(2):9-15

Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.

Purpose: Trauma is the leading cause of mortality in people below the age of 45 years. Abdominal trauma constitutes one-fourth of the trauma burden. Scoring systems in trauma are necessary for grading the severity of the injury and prior mobilization of resources in anticipation. Read More

Acta Biomed 2021 Apr 30;92(S1):e2021121. Epub 2021 Apr 30.

AUSL Piacenza, Department of Surgery.

Background And Aims: Diaphragmatic ruptures are associated with blunt abdominal or thoracic trauma and often occur in car and motorbike accident with a high energy impact.

Case Presentation: We report two cases of patients victims of car and motorbike accidents that were referred to the Emergency Department of our Hospital in August and September 2017 for a politrauma. The patients were both diagnosed with a left diaphragmatic rupture with herniation of the stomach in the chest, and decomposed fractures of the ribs. Read More

ANZ J Surg 2021 Apr 29. Epub 2021 Apr 29.

Department of General Surgery, Northland District Health Board, Whangarei, New Zealand.

Background: Patients with hollow viscus injury (HVI) are often a cause for diagnostic uncertainty. The incidence and outcomes of patients suffering hollow viscus injury secondary to major trauma have not been previously described in New Zealand. These metrics are important to guide quality improvement and resource allocation. Read More

J Acute Med 2021 Mar;11(1):18-21

Konya Meram Education Research Hospital Department of Chest Disease Konya Turkey.

Background: Traumatic diaphragm injuries are rare. After blunt trauma, injuries occur with a 1-7% rate. This rate increases up to 15% in penetrating injuries. Read More

J Clin Med 2021 Apr 24;10(9). Epub 2021 Apr 24.

Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju 63127, Korea.

The efficacy and safety of laparoscopy for blunt trauma remain controversial. This systemic review and meta-analysis aimed to evaluate the usefulness of laparoscopy in blunt trauma. The PubMed, EMBASE, and Cochrane databases were searched up to 23 February 2021. Read More

J Emerg Trauma Shock 2021 Jan-Mar;14(1):58-60. Epub 2021 Mar 23.

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

AJR Am J Roentgenol 2021 Apr 28:1-7. Epub 2021 Apr 28.

Department of Diagnostic Radiology and Nuclear Medicine, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201.

The objectives of this study were to examine the performance of CT in the diagnosis of ischemic mesenteric laceration after blunt trauma and to assess the predictive value of various CT signs for this injury. In this retrospective study, consecutive patients with bowel and mesenteric injury diagnosed by CT or surgery from January 2011 through December 2016 were analyzed. Two radiologists evaluated CT images for nine signs of bowel injury. Read More

AJR Am J Roentgenol 2021 Apr 28. Epub 2021 Apr 28.

Department of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN.

Contrast-enhanced ultrasound (CEUS) utilization is expanding rapidly, particularly in children, in whom the modality offers important advantages of dynamic evaluation of the vasculature, portability, lack of ionizing radiation, and lack of need for sedation. Accumulating data establish an excellent safety profile of ultrasound contrast agents in children. Although only FDA-approved for IV use in children for characterizing focal liver lesions and for use during echocardiography, growing off-label applications are expanding the diagnostic potential of ultrasound. Read More

Ther Clin Risk Manag 2021 19;17:333-343. Epub 2021 Apr 19.

Department of Surgery, Clinical Research, Trauma & Vascular Surgery, Hamad General Hospital, Doha, Qatar.

Background: Massive bleeding is a major preventable cause of early death in trauma. It often requires surgical and/or endovascular intervention. We aimed to describe the utilization of angioembolization in patients with abdominal and pelvic traumatic bleeding at a level 1 trauma center. Read More

BMJ Case Rep 2021 Apr 26;14(4). Epub 2021 Apr 26.

General Surgery, Worthing Hospital, Worthing, West Sussex, UK.

A 61-year-old man presented to the emergency department with severe abdominal pain. Three months prior to presentation, he had sustained blunt trauma to his right side while cycling, but had not sought medical attention. On admission, a CT scan showed small bowel obstruction (SBO) and he underwent an emergency open laparotomy. Read More

J Surg Res 2021 Apr 20;265:86-94. Epub 2021 Apr 20.

Division of Trauma, Department of Surgery, Stony Brook University School of Medicine, Stony Brook, New York. Electronic address:

Introduction: Splenic injury is common in blunt trauma. We sought to evaluate the injury characteristics and outcomes of BSI admitted over a 10-y period to an academic trauma center.

Methods: A retrospective review of adult blunt splenic injury patients admitted between January 2009 and September 2018. Read More

Pan Afr Med J 2021 27;38:89. Epub 2021 Jan 27.

Roan Antelope General Hospital, Luanshya, Zambia.

Introduction: although non-operative management of patients with blunt trauma to abdominal solid organs has become standard care, the role of peripheral hospitals remains poorly defined. This study reviews treatment and outcomes in patients with liver and spleen injuries at a regional hospital over a 10-year period.

Methods: a retrospective review of prospectively collected data was performed and supplemented by case notes retrieval. Read More

Int J Surg Case Rep 2021 Apr 17;81:105786. Epub 2021 Mar 17.

Pediatric Surgery Unit, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal. Electronic address:

Introduction: Blunt abdominal trauma causing Gastro-esophageal junction (GEJ), diaphragm, and gastric perforation in children is a very rare occurrence. However, the injury is serious and life-threatening with significant morbidity and mortality.

Presentation Of Case: We report an unusual case of a 14-year-old boy with an accidental fall from the tree with blunt abdomen trauma with a perforating injury to GEJ, stomach, and diaphragm. Read More

Int J Surg Case Rep 2021 Apr 10;82:105884. Epub 2021 Apr 10.

Al-Quds University, Faculty of Medicine, Jerusalem, Palestine; Princess Alia Governmental Hospital, Hebron, Palestine.

Introduction: Intramural cecal hematomas are rarely encountered clinical entities with only 14 cases reported in our literature. It is usually reported after blunt external trauma, endoscopy-related trauma, coagulopathies, and occasionally spontaneous. Most cases presented acutely after primary insult; however, a delayed presentation rarely can occur. Read More

Semin Intervent Radiol 2021 Mar 15;38(1):105-112. Epub 2021 Apr 15.

Division of Vascular and Interventional Radiology, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.

The spleen is the most commonly injured organ in blunt abdominal trauma. Patients who are hemodynamically unstable due to splenic trauma undergo definitive operative management. Interventional radiology plays an important role in the multidisciplinary management of the hemodynamically stable trauma patient with splenic injury. Read More

Semin Intervent Radiol 2021 Mar 15;38(1):96-104. Epub 2021 Apr 15.

Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.

The liver is the second most commonly involved solid organ (after spleen) to be injured in blunt abdominal trauma, but liver injury is the most common cause of death in such trauma. In patients with significant blunt abdominal injury, the liver is involved approximately 35 to 45% of the time. Its large size also makes it a vulnerable organ, commonly injured in penetrating trauma. Read More

J Pediatr Surg 2021 May 23;56(5):1090. Epub 2021 Mar 23.

Department of Acute Medicine and Critical Care Medical Center, Osaka National Hospital, National Hospital Organization, Osaka, Japan.

Trauma Case Rep 2021 Jun 18;33:100468. Epub 2021 Mar 18.

Division of Interventional Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, United States of America.

Blunt abdominal trauma is a common cause of solid organ injury in children. Nonoperative management has been established as the standard of care for suspected liver and spleen injuries without peritonitis. Major ductal injury with resultant biloma is a rare complication of nonoperative management of blunt liver injury. Read More

J Pediatr Surg 2021 May 23;56(5):1088-1089. Epub 2021 Mar 23.

Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Updates Surg 2021 Apr 10. Epub 2021 Apr 10.

Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge Biomedical Campus, Hills Road, Cambridge, UK.

Technique, indications and outcomes of laparoscopic splenectomy in stable trauma patients have not been well described yet. All hemodynamically non-compromised abdominal trauma patients who underwent splenectomy from 1/2013 to 12/2017 at our Level 1 trauma center were included. Demographic and clinical data were collected and analysed with per-protocol and an intention-to-treat comparison between open vs laparoscopic groups. Read More

Surg Technol Int 2021 04 7;38. Epub 2021 Apr 7.

New York Medical College School of Medicine, Department of Surgery, Westchester Medical Center Health, Valhalla, New York.

Introduction: Traumatic abdominal wall hernias (TAWHs) after blunt trauma, while rare, are typically associated with severe injuries, particularly those involved with the seatbelt triad of abdominal wall disruption. The aim of this study is to present a case series of patients with TAWHs that were managed at an early stage post injury with a biological mesh.

Materials And Methods: Patients with TAWH undergoing complex abdominal wall reconstruction (CAWR) between 2017 and 2020 were identified from our institutional database. Read More

J Med Case Rep 2021 Apr 7;15(1):192. Epub 2021 Apr 7.

Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.

Background: Appendicitis following trauma is a well-documented sequela of blunt trauma to the abdomen, while appendiceal transection following trauma is extremely rare. Literature reports have documented appendicitis and appendiceal transection as the presenting pathology in a trauma setting. This is first report of auto-amputation of the appendix as a delayed presentation with peritonitis, which was detected during the second surgery in a child with blunt abdominal trauma. Read More

Int J Emerg Med 2021 Apr 7;14(1):20. Epub 2021 Apr 7.

Department of General Surgery, Shahid Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, Iran.

Psoas muscle hematoma is defined as a spontaneous or traumatic retroperitoneal collection of blood involving the psoas muscle. Early symptoms of an iliopsoas hematoma include lower abdominal or severe groin pain. Although psoas hematoma is a known complication of coagulopathy, psoas hematoma caused by non-penetrating trauma is the subject of only scattered reports and its significance has not been well described in the literature, so the aim of this study was to report a case of blunt traumatic psoas hematoma with the fracture of vertebral transverse process with the presentation of gross hematuria. Read More

Chin J Traumatol 2021 Mar 26. Epub 2021 Mar 26.

Surgical Division, Hillel Yaffe Medical Center Affiliated to Rappoport Medical School, Technion, Hadera, Israel.

Purpose: There is a common opinion that spine fractures usually reflect the substantial impact of injuries and therefore may be used as a marker of significant associated injuries, specifically for intra-abdominal injury (IAI). The impact of concomitant spinal cord injury (SCI) with the risk of associated IAI has not been well clarified. The aim of this study was to evaluate the incidence and severity of IAIs in patients suffering from spine fractures with or without SCI. Read More

Cureus 2021 Feb 28;13(2):e13603. Epub 2021 Feb 28.

Surgery, Rutgers New Jersey Medical School, Newark, USA.

Intestinal intramural hematomas are a rare complication of blunt abdominal trauma in the setting of anticoagulation. A 52-year-old male presented to our surgical service with high-grade small bowel obstruction secondary to an extensive small bowel intramural hematoma requiring resection. The patient sustained a blunt abdominal assault several days earlier and workup revealed severe coagulopathy likely secondary to overexposure to a warfarin-based substance. Read More

Entropy (Basel) 2021 Mar 24;23(4). Epub 2021 Mar 24.

Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI 48109, USA.

The spleen is one of the most frequently injured organs in blunt abdominal trauma. Computed tomography (CT) is the imaging modality of choice to assess patients with blunt spleen trauma, which may include lacerations, subcapsular or parenchymal hematomas, active hemorrhage, and vascular injuries. While computer-assisted diagnosis systems exist for other conditions assessed using CT scans, the current method to detect spleen injuries involves the manual review of scans by radiologists, which is a time-consuming and repetitive process. Read More

J Trauma Acute Care Surg 2021 Mar 27. Epub 2021 Mar 27.

University of Colorado School of Medicine University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine Denver Health Medical Center University of Colorado School of Medicine University of Colorado School of Medicine University of Colorado School of Medicine Denver Health Medical Center, University of Colorado School of Medicine.

Background: The rationale for Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is to control life-threatening sub-diaphragmatic bleeding and facilitate resuscitation, however, incorporating this into the resuscitative practices of a trauma service remains challenging. The objective of this study is to describe the process of successful implementation of REBOA use in an academic urban level I trauma center. All REBOA procedures from April 2014 through December 2019 were evaluated; REBOA was implemented after surgical faculty attended a required and internally developed Advanced Endovascular Strategies for Trauma Surgeons course (AESTS). Read More

S Afr J Surg 2021 Mar;59(1):26a-26e

Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal, South Africa and Department of Surgery, University of the Witwatersrand, South Africa.

Background: The collective five-year experience with the acute management of pelvic trauma at a busy South African trauma service is reviewed to compare the usefulness and applicability of current grading systems of pelvic trauma and to review the compliance with current guidelines regarding pelvic binder application during the acute phase of resuscitation.

Methods: A retrospective review was conducted over a 5-year period from December 2012 to December 2017 on all polytrauma patients who presented with a pelvic fracture. Mechanism of injury and presenting physiology and clinical course including pelvic binder application were documented. Read More

Interact Cardiovasc Thorac Surg 2021 Mar 29. Epub 2021 Mar 29.

Department of Vascular Surgery, Ludwig-Maximilians-University Hospital , Munich, Germany.

Objectives: The aim of this study was to analyse and report the changes in the management of blunt traumatic aortic injuries (BTAIs) in a single centre during the last 2 decades.

Methods: A retrospective analysis of all patients diagnosed with BTAI from January 1999 to January 2020 was performed. Data were collected from electronic/digitalized medical history records. Read More