scholarly journals Ureteral rupture after blunt abdominal trauma in a child with unknown horseshoe kidney

2015 ◽  
Vol 37 (2) ◽  
Author(s):  
Arianna Mariotto ◽  
Nicola Zampieri ◽  
Mariangela Cecchetto ◽  
Francesco Saverio Camoglio
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Horseshoe Kidney ◽  
Standard Of Care ◽  
Renal Lesion ◽  
Safe Procedure ◽  
Double J Stent ◽  
The Right ◽  
Ureteral Rupture ◽  
Non Surgical Treatment

More than 90% of renal injuries in children result from blunt abdominal trauma. A 10-year-old female had a blunt abdominal trauma with macro-hematuria. The computed tomography scan revealed the presence of a horseshoe kidney and a 3rd grade renal lesion and contrast leakage from the right ureter. The ureteral rupture was confirmed by cystoscopy and ascendant pyelography and than a double J-stent was implanted. The stent was removed one month later. Non-surgical management has become the standard of care for both ureteral and renal lesions in children. Non-surgical treatment is a safe procedure for renal trauma with ureteral rupture in children.

scholarly journals Post-traumatic rupture of the right ovary and liver after blunt abdominal trauma: A case report

2020 ◽  
Vol 66 ◽  
pp. 85-87
Author(s):  
Panagiota Xaplanteri ◽  
Nada Zacharis ◽  
Charalampos Potsios ◽  
Georgios Zacharis
Keyword(s):  
Case Report ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Traumatic Rupture ◽  
Post Traumatic ◽  
The Right

scholarly journals Free Fluid Accumulation following Blunt Abdominal Trauma: Potential for Expansion of the Fast Protocol

2009 ◽  
Vol 16 (2) ◽  
pp. 70-75
Author(s):  
N Simpson ◽  
P Page ◽  
DM Taylor
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Peritoneal Fluid ◽  
Injury Severity ◽  
Iliac Fossa ◽  
Fluid Collection ◽  
Rectus Muscle ◽  
Ct Scans ◽  
Free Fluid ◽  
The Right

Objective To determine sites of free intra-peritoneal fluid collection following blunt abdominal trauma, with a view to refinement of the Focused Assessment by Sonography for Trauma (FAST) protocol. Methods This was a retrospective observational study of CT scans of subjects who had suffered blunt abdominal trauma and had free intra-peritoneal fluid detected on CT scan within 24 hours. The depth from the skin and amount of fluid at 14 abdominal sites were determined. Results CT scans of 105 patients were examined: 68 (64.8%) were male, mean age 36.7±18.4 years, mean injury severity score 25.4±11.6. Fluid collected most commonly at three sites: right mid-axillary line at the level of the xiphisternum (52 patients, 49.5%), lateral margin of the right rectus muscle at the level of the anterior superior iliac spine (49 patients, 46.7%) and right mid-axillary line at the level of the umbilicus (40 patients, 38.1%). Mean depth of fluid at these sites were 3.6, 3.6 and 4.2 cm, respectively. Conclusions Free fluid collects commonly in the area of the right iliac fossa following blunt abdominal trauma. The inclusion of this site in the FAST protocol may increase the ultrasonographic detection of free fluid in the acute trauma setting.

scholarly journals Emergency Ultrasound Predicting the Need for Therapeutic Laparotomy among Blunt Abdominal Trauma Patients in a Sub-Saharan African Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
P. C. M. Musiitwa ◽  
M. Galukande ◽  
S. Bugeza ◽  
H. Wanzira ◽  
R. Wangoda
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Standard Of Care ◽  
Routine Practice ◽  
Trauma Patients ◽  
Diagnostic Challenge ◽  
Mortality And Morbidity ◽  
Portable Ultrasound ◽  
Sub Saharan ◽  
Overall Mortality

Background. The trauma burden globally accounts for high levels of mortality and morbidity. Blunt abdominal trauma (BAT) contributes significantly to this burden. Patient’s evaluation for BAT remains a diagnostic challenge for emergency physicians. SSORTT gives a score that can predict the need for laparotomy. The objective of this study was to assess the accuracy of SSORTT score in predicting the need for a therapeutic laparotomy after BAT.Method. A prospective observational study. Eligible patients were evaluated for shock and the presence of haemoperitoneum using a portable ultrasound machine. Further evaluation of patients following the standard of care (SOC) protocol was done. The accuracy of SSORTT score in predicting therapeutic laparotomy was compared to SOC.Results. In total, 195 patients were evaluated; M : F ratio was 6 : 1. The commonest injuries were to the head 80 (42%) and the abdomen 54 (28%). A SSORTT score of >2 appropriately identified patients that needed a therapeutic laparotomy (with sensitivity 90%, specificity 90%, PPV 53%, and NPV 98%). The overall mortality rate was 17%.Conclusion. Patients with a SSORTT score of 2 and above had a high likelihood of requiring a therapeutic laparotomy. SSORTT scoring should be adopted for routine practice in low technology settings.

scholarly journals Isolated damage to the gallbladder in blunt trauma of the abdominal cavity

1981 ◽  
Vol 62 (5) ◽  
pp. 68-68
Author(s):  
V. P. Sukhodolov
Keyword(s):  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Abdominal Cavity ◽  
Ambulance Service ◽  
Internal Organs ◽  
Alcoholic Intoxication ◽  
The Right

We present two observations of isolated damage to the gallbladder in blunt abdominal trauma. 1. K., 24 years old, fell out of the 5th floor window. Delivered to the trauma department in 30 minutes by the ambulance service with a diagnosis of blunt trauma to the abdomen with damage to internal organs: Fracture of the right hip; alcoholic intoxication.

scholarly journals Evaluation of intestinal injuries from blunt abdominal trauma

2017 ◽  
Vol 4 (12) ◽  
pp. 3971
Author(s):  
Manoranjan U. D. ◽  
Nikhil S. ◽  
Chandrashekar M. S.
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Early Recognition ◽  
Diagnostic Methods ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
Antimesenteric Border ◽  
Reduction Of Mortality ◽  
Immediate Surgery ◽  
The Right

Background: To Evaluate the cause, presentation, anatomical extent, diagnostic method, management and outcome of intestinal injuries from blunt abdominal injuries.Methods: The study included 40 patients who underwent laparotomy for intestinal injuries from blunt abdominal trauma over a period of 1 year. A retrospective study was conducted, and the patients were evaluated with respect to the cause, presentation, anatomical distribution, diagnostic methods, associated injuries, treatment and mortality.Results: 40 patients with 58 major injuries to the bowel and mesentery due to blunt abdominal trauma were reviewed. The male to female ratio was 9: 1 and the average age was 32.51 years. There were 38 injuries to the small intestine including 1 duodenal injury, 13 colonic injuries and 6 isolated injuries to the mesentery. Out of 29 patients with intestinal perforation, free peritoneal air was present on plain abdominal and chest radiography in 23 patients. The commonest injury was a perforation at the antimesenteric border of the small bowel. Treatment consisted of laparotomy followed by simple closure of the perforation, resection and anastomosis and repair followed by protective colostomy for colonic perforations. 3 (7.56%) deaths were recorded, while 6 (15%) patients developed major complications.Conclusions: Bowel and mesenteric injuries may be significant and require immediate surgery or may be nonsignificant and permit nonsurgical treatment. Although early recognition of intestinal injuries from blunt abdominal trauma is difficult only by clinical assessment, nevertheless important to establish the right diagnosis due to its high infective potential. Intestinal perforations are often found accompanying other severe intra-peritoneal injuries which probably, are the determining factors in morbidity and mortality hence the main emphasis lying on early detection of the injuries and reducing the time from admission to the surgery thus playing a role in the reduction of mortality and morbidity associated with intestinal injuries following blunt trauma abdomen.

scholarly journals Update: Splenic Artery Embolization in Blunt Abdominal Trauma

2020 ◽  
Vol 37 (01) ◽  
pp. 097-102 ◽  
Author(s):  
Mangaladevi S. Patil ◽  
Sean Z. Goodin ◽  
Laura K. Findeiss
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Nonoperative Management ◽  
Pediatric Population ◽  
Arterial Embolization ◽  
Standard Of Care ◽  
Current Data ◽  
Artery Embolization ◽  
Current Standard ◽  
Splenic Artery Embolization

AbstractThe spleen is the most commonly injured organ after blunt abdominal trauma. Nonoperative management with splenic arterial embolization (SAE) is the current standard of care for hemodynamically stable patients. Current data favor the use of proximal and coil embolization techniques in adults, while observation is suggested in the pediatric population. In this review, the authors describe the most recent evidence informing the clinical indications, techniques, and complications for SAE.

scholarly journals Colonic (splenic flexure) necrosis due to thrombosis of the middle colic artery following blunt abdominal trauma

1994 ◽  
Vol 112 (3) ◽  
pp. 622-624 ◽  
Author(s):  
Raul Coimbra ◽  
José Ribeiro Aguiar ◽  
Samir Rasslan ◽  
Silvio Pires Ressurreição
Keyword(s):  
Surgical Treatment ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Splenic Flexure ◽  
Unusual Case ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Colonic Necrosis ◽  
Non Surgical Treatment

We report an unusual case of a 28-year-old man who developed a colonic necrosis due to thrombosis of the middle colic artery 18 hours following blunt abdominal trauma. Although rare, this condition can occur in those patients whom non surgical treatment was initially performed.

scholarly journals Management modalities of isolated liver injury in blunt abdominal trauma

2019 ◽  
Vol 7 (1) ◽  
pp. 58
Author(s):  
Lalji Mangukiya ◽  
Hardik Astik
Keyword(s):  
Liver Injury ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Road Traffic ◽  
Demographic Data ◽  
Standard Of Care ◽  
Operative Management ◽  
Treatment Morbidity ◽  
Injury Grade ◽  
Isolated Liver

Background: The liver is one of the most commonly injured organ in blunt abdominal trauma. Management of liver injury due to blunt abdominal trauma has been dramatically evolved in recent years. Dramatic change from operative management to non-operative management has improved survival in these patients, becoming the standard of care for most liver injuries.Methods: A retrospective study of the patients admitted with the diagnosis of isolated liver injury due to blunt abdominal trauma between 2013-2018. Data collected of 30 patients of isolated liver injury who either treated conservative management of operative management. Variable analyzed included demographic data, mechanism of injury, associated injury, conservative treatment, operative treatment, morbidity, mortality, and hospital stay.Results: A total of 30 patients were analyzed of isolated liver injury due to blunt abdominal trauma, 27 patient sustained minor liver injury (grade I, II and III), whereas 3 patients had major liver injury (grade IV, V and VI). 25 cases due to road traffic accident and 5 cases were due to falls from a height. 27 patients with American Association for the surgery of trauma grade I, II, III and 2 patients with grade IV, V managed conservatively, surgical intervention required in 1 patient with grade V, mortality occurred in 1 patient out of 29 who were treated conservatively.Conclusions: Isolated liver injury is common in the blunt abdominal trauma patient. Most of the patients with the liver injury with hemodynamically stable treated conservatively. Only a few of them require surgical management if they are hemodynamically unstable.

scholarly journals Minimal invasive therapy of an isolated rupture of the right hepatic duct after blunt abdominal trauma

Injury Extra ◽  
2006 ◽  
Vol 37 (6) ◽  
pp. 211-217 ◽  
Author(s):  
A.G.J. van Marle ◽  
H. van Overhagen ◽  
J.J. Nicolai ◽  
M.A.M. Brouwers
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Hepatic Duct ◽  
Minimal Invasive ◽  
Invasive Therapy ◽  
Minimal Invasive Therapy ◽  
The Right
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