3,534 results match your criteria Abdominal Trauma Penetrating

Left diaphragmatic rupture in vehicle trauma: Report of surgical treatment and complications of two consecutive cases.

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

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Utility of enteric contrast material in abdominal penetrating trauma: A narrative review.

Diagn Interv Imaging 2021 Apr 28. Epub 2021 Apr 28.

Department of Radiology, McMaster University, Hamilton General Hospital, Hamilton, ON, Canada L8L 2X2.

Penetrating trauma is an important cause of morbidity and mortality. With the possibility of conservative management for hemodynamically stable trauma patient, computed tomography (CT) has become an important tool in diagnosis and management of penetrating trauma. There have been multiple studies examining the utility and lack of perceived benefit of using enteric contrast material in the initial CT evaluation. Read More

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Approach to Traumatic Diaphragm Injuries: Single Center Experience.

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

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The Efficacy and Safety of Laparoscopy for Blunt Abdominal Trauma: A Systematic Review and Meta-Analysis.

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

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Hepatic Trauma Interventions.

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

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Application of Damage Control Tactics and Transpapillary Biliary Decompression for Organ-Preserving Surgical Management of Liver Injury in Combat Patient.

Mil Med 2021 Apr 16. Epub 2021 Apr 16.

Department of Surgery, Taras Shevchenko National University of Kyiv, Kyiv 03022, Ukraine.

The combat penetrating gunshot injury is frequently associated with damage to the liver. Bile leak and external biliary fistula (EBF) are common complications. Biliary decompression is commonly applied for the management of EBF. Read More

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An unusually delayed presentation of massive haematemesis following stab injury to the chest.

J Surg Case Rep 2021 Apr 6;2021(4):rjab081. Epub 2021 Apr 6.

General Surgery Unit, Department of Surgery, National Hospital Abuja, Garki, Abuja, Nigeria.

Penetrating thoracoabdominal injury is a common presentation in the trauma resuscitation room with the possibility of a myriad of injuries which may involve thoracic and abdominal viscera. Management is usually operative however non-operative management is a possibility especially following knife stab injuries when compared with gunshot injuries. Clinical presentation will depend on the injured organ, extent of injury and time from injury to presentation. Read More

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Injuries Sustained During Incarceration Among Prisoners.

J Surg Res 2021 Apr 10;264:386-393. Epub 2021 Apr 10.

Division of Trauma and Acute Care Surgery, Department of Surgery, University of California, Davis, Davis, California; Department of Surgery Outcomes Research Group, University of California, Davis, Davis, California. Electronic address:

Background: The U.S. prison population has increased substantially in recent years, and violent injury is common among prisoners. Read More

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Laparoscopic splenectomy as a definitive management option for high-grade traumatic splenic injury when non operative management is not feasible or failed: a 5-year experience from a level one trauma center with minimally invasive surgery expertise.

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

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Abdominal Aorta Bullet Embolism: Presentation and Management.

Ann Vasc Surg 2021 Apr 6. Epub 2021 Apr 6.

Department of Surgery, Broward Health Medical Center, Fort Lauderdale, FL.

Penetrating cardiac injury (PCI) secondary to a gunshot wound presents with several complications and a mortality rate of 94% before reaching the hospital. Current literature search reveals that embolism of bullet fragments after gunshot wounds are exceptionally rare. Additionally, no reported case was found regarding bullet embolism following left atrium penetration at the time of this case report. Read More

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Non-penetrating traumatic psoas muscle hematoma presenting with gross hematuria: a case report.

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

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Use of CT-scan in pediatric patients with thoraco-abdominal trauma: experience at a latin-american trauma facility.

Cir Pediatr 2021 Apr 1;34(2):79-84. Epub 2021 Apr 1.

Health Science School, Icesi University. Cali (Colombia). Pediatric Surgery Department. Valle del Lili Foundation. Cali (Colombia).

Introduction: CT-scan is the method of choice for major trauma assessment. However, it significantly increases radiation exposure in the pediatric population. The objective of this study was to analyze differences in clinical outcomes according to the preoperative use of CT-scan. Read More

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Damage Control in Penetrating Liver Trauma: Fear of the Unknown.

Colomb Med (Cali) 2020 Dec 30;51(4):e4134365. Epub 2020 Dec 30.

Professor Emeritus Virginia Commonwealth University, Richmond, VA, USA.

The liver is the most commonly affected solid organ in cases of abdominal trauma. Management of penetrating liver trauma is a challenge for surgeons but with the introduction of the concept of damage control surgery accompanied by significant technological advancements in radiologic imaging and endovascular techniques, the focus on treatment has changed significantly. The use of immediately accessible computed tomography as an integral tool for trauma evaluations for the precise staging of liver trauma has significantly increased the incidence of conservative non-operative management in hemodynamically stable trauma victims with liver injuries. Read More

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December 2020

Prehospital ABC Score Accurately Forecasts Patients Who Will Require Immediate Resource Utilization.

South Med J 2021 04;114(4):193-198

From the Department of Surgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, the Department of Surgery, College of Medicine, University of Cincinnati, Cincinnati, Ohio, the Department of Emergency Medicine, University of Texas at Austin Dell Medical School, Austin, and the Center for Translational Injury Research and the Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), Houston.

Objectives: Scoring systems, such as the Assessment of Blood Consumption (ABC) Score, are used to identify patients at risk for massive transfusion (MT, ≥10 U red blood cells in 24 hours). Our aeromedical transport helicopter uses ultrasound to perform the Focused Assessment with Sonography for Trauma (FAST) examination. Our objective was to evaluate the ability of the Prehospital ABC (PhABC) Score to predict blood transfusions and the need for emergent laparotomy. Read More

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Strategies for successful implementation of resuscitative endovascular balloon occlusion of the aorta (REBOA) in an urban Level I trauma center.

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

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A retained intrahepatic bullet in the Bermuda triangle: A case report of surgical extraction.

Int J Surg Case Rep 2021 Apr 24;81:105700. Epub 2021 Feb 24.

Gastrointestinal Surgical Center, Mansoura University, Egypt. Electronic address:

Introduction And Importance: The management of retained gunshot injury in the liver is not properly discussed in the literature.

Case Presentation: We describe a rare case of intrahepatic retained foreign body (bullet). Our patient is a 39-year old Yemeni soldier, who was exposed to firearm injury 10 months previously. Read More

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Acute Diaphragmatic Injuries Associated with Traumatic Rib Fractures: Experiences of a Major Trauma Centre and the Importance of Intra-Pleural Assessment.

J Chest Surg 2021 Feb;54(1):59-64

Department of Cardiothoracic Surgery, St. George's Hospital, London, UK.

Background: Diaphragmatic injuries following blunt or penetrating thoraco-abdominal trauma are rare, but can be life-threatening. Rib fractures are the most common associated injury in patients with a traumatic diaphragmatic injury (TDI). We hypothesized that the pattern of rib fracture injuries could dictate the likelihood of acute TDIs. Read More

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February 2021

Role of Minimally Invasive Surgery in Management of Penetrating Abdominal Trauma in Children.

Eur J Pediatr Surg 2021 Mar 23. Epub 2021 Mar 23.

Department of Pediatric Surgery, Prince Mohammed bin Abdulaziz Hospital, Riyadh, Saudi Arabia.

Introduction:  Traditionally, exploratory laparotomy was used to treat penetrating abdominal trauma (PAT). At present, minimally invasive surgery (for diagnostic and therapeutic purposes) has developed and represents a rapidly evolving modality for dealing with PAT in stable children. In this article, we aim to present our experience, evaluate the effectiveness, and report the results of minimally invasive surgery (MIS) for PAT in stable pediatric patients. Read More

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Surgical management of traumatic diaphragmatic hernia: a single institutional experience of more than two decades.

BMC Surg 2021 Mar 19;21(1):142. Epub 2021 Mar 19.

Department of Cardiothoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.

Background: We present here our experience with surgical management of traumatic diaphragmatic hernia, trying to find out the era impact of different periods on the outcome and risk factors of mortality.

Methods: A series of 63 patients with traumatic diaphragmatic hernia were referred to us and operated on during March, 1990-August, 2017. The patient records were reviewed and statistically analyzed to demonstrate injury characteristics and to find out optimal treatment strategy, risk factors of death as well as the difference between two periods (1990-2005, 2005-2017) divided by introduction of computed tomography at our institution. Read More

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Penetrating Thoracoabdominal Trauma With a Cryptic Diaphragmatic Injury in a 23-Year-Old Male.

Cureus 2021 Feb 3;13(2):e13102. Epub 2021 Feb 3.

Surgery, West Virginia University, Martinsburg, USA.

Traumatic diaphragmatic injuries are a rare entity and can occur in relation to penetrating thoracic and abdominal trauma. The most common clinical features of diaphragm rupture include chest or abdominal bruising, decreased breath sounds, and signs of bowel obstruction. However, the classic signs and symptoms of diaphragmatic injury are not always present and can be obscured even in the highest resolution imaging. Read More

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February 2021

Multiple impalement injuries of the torso with two metal bars: A case report.

Ann Med Surg (Lond) 2021 Mar 25;63:102179. Epub 2021 Feb 25.

Department of Surgery, Al-Mouwasat University Hospital, Damascus University, Faculty of Medicine, Damascus, Syria.

Introduction And Importance: Impalement injury is a type of penetrating trauma that is rarely mentioned and studied in the medical literature. Patients who could show up at the emergency room are those who got an isolated stab wound in their extremities. The torso injuries are usually fatal in the scene of the accident. Read More

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Evidence for use of damage control surgery and damage control interventions in civilian trauma patients: a systematic review.

World J Emerg Surg 2021 Mar 11;16(1):10. Epub 2021 Mar 11.

Department of Critical Care Medicine, University of Calgary and Alberta Health Services, Calgary, AB, Canada.

Background: Although damage control (DC) surgery is widely assumed to reduce mortality in critically injured patients, survivors often suffer substantial morbidity, suggesting that it should only be used when indicated. The purpose of this systematic review was to determine which indications for DC have evidence that they are reliable and/or valid (and therefore in which clinical situations evidence supports use of DC or that DC improves outcomes).

Methods: We searched 11 databases (1950-April 1, 2019) for studies that enrolled exclusively civilian trauma patients and reported data on the reliability (consistency of surgical decisions in a given clinical scenario) or content (surgeons would perform DC in that clinical scenario or the indication predicted use of DC in practice), construct (were associated with poor outcomes), or criterion (were associated with improved outcomes when DC was conducted instead of definitive surgery) validity for suggested indications for DC surgery or DC interventions. Read More

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[Transanal evisceration of small bowel caused by impalement in children: about a case].

Pan Afr Med J 2020 7;37:320. Epub 2020 Dec 7.

Service de Chirurgie Pédiatrique, Hôpital d'Enfant Albert Royer, Sénégal.

Transanal evisceration of the small intestine caused by impalement is exceptional among children. We report the case of an 11-year old girl with intestinal loops eviscerating through the anus due to a fall on a sharp piece of wood which stuck into her, occurring two hours before hospitalization. On examination, his general condition was good, with transanal evisceration of approximately 25 cm of viable small bowel through the anus and abdominal tenderness. Read More

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Endoscopic repair of delayed stomach perforation caused by penetrating trauma: A case report.

World J Clin Cases 2021 Feb;9(5):1228-1236

Department of Gastroenterology and Hepatology, Chonnam National University Hospital and College of Medicine, Gwangju 61469, South Korea.

Background: Primary endoscopic closure of a perforated gastric wall during endoscopic procedures is mostly effective and well-tolerated; however, there are very few studies on the efficacy of endoscopic management of delayed traumatic gastric perforation. Herein, we report a novel case of a patient who was successfully treated for delayed traumatic stomach perforation using an alternative endoscopic modality.

Case Summary: A 39-year-old woman presented with multiple penetrating traumas in the back and left abdominal cavity. Read More

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February 2021

Obesity Protects Against Operation in Pediatric Penetrating Trauma to the Torso.

J Surg Res 2021 Feb 24;263:57-62. Epub 2021 Feb 24.

Division of Pediatric Surgery, Valley Children's Hospital, Madera, California.

Background: Studies in the adult population are conflicting regarding whether obesity is protective in penetrating trauma. In the pediatric population, data on obesity and penetrating trauma are limited. We sought to determine if there is a different rate of operation or of survival in pediatric and adolescent patients with obesity. Read More

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February 2021

Damage Control Laparotomy in the Cirrhotic Trauma Patient is Highly Lethal: A Matched Cohort Study.

Am Surg 2021 Feb 26:3134821998673. Epub 2021 Feb 26.

Division of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County + University of Southern California Medical Center, University of Southern California Los Angeles, USA.

Introduction: Damage control laparotomy (DCL) has revolutionized trauma care and is considered the standard of care for severely injured patients requiring laparotomy. The role of DCL in cirrhotic patients has not been investigated.

Methods: A matched cohort study using American College of Surgeons Trauma Quality Improvement Program database including patients undergoing DCL within 24 hours of admission. Read More

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February 2021

Intraoperative ureter identification with a novel fluorescent catheter.

Sci Rep 2021 Feb 24;11(1):4501. Epub 2021 Feb 24.

Research Institute Against Digestive Cancer, IRCAD, Strasbourg, France.

Iatrogenic ureteral injuries (IUI) occur in 0.5-1.3% of cases during abdominal surgery. Read More

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February 2021

Case report: direct suture repair of inferior vena cava to rescue a stab patient with hepatic and caval injury through left hepatectomy and total vascular exclusion.

Surg Case Rep 2021 Feb 23;7(1):55. Epub 2021 Feb 23.

Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, National Center for Global Health and Medicine (NCGM), 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655, Japan.

Background: The mortality of abdominal vena caval injuries is as high as 50-80%. Yet, there were few reports on how to repair injured inferior vena cava (IVC). This report presents a method of vena caval repair in a case of penetrating retrohepatic IVC injury, requiring hepatic resection and total vascular exclusion (TVE). Read More

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February 2021