Trauma is the leading cause of death between the ages of 1 and 44 years. In all age
groups, it is surpassed only by cancer and atherosclerosis in mortality [
[1]
]. The evaluation and treatment of abdominal injuries are critical components in the
management of severely injured trauma patients. Because missed intra-abdominal injuries
are a frequent cause of preventable trauma deaths, a high index of suspicion is warranted.To read this article in full you will need to make a payment
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References
- ATLS program for doctors. 6th edition. First Impressions, Chicago1997: 193-211
- Abdominal trauma, including indications for celiotomy.in: Mattox K.L Feliciano D.V Moore E.E Trauma. 4th edition. McGraw-Hill Companies, New York2000: 1583-1602
- Bullet fragmentation: a major cause of tissue disruption.J Trauma. 1984; 24: 35-39
- Balistica: aplicaciones en cirugia de trauma.in: Rodriguez A Ferrada R Feliciano D Trauma. Panamerican Trauma Society, Cali (Colombia)1997: 559
- Principles of ballistics applicable to the treatment of gunshot wounds.Surg Clin North Am. 1991; 71: 221-239
- Recognition of intra-abdominal injury in blunt trauma victims: a prospective study comparing physical examination and peritoneal lavage.Am Surg. 1982; 48: 457-459
- The value of physical examination in the diagnosis of patients with blunt abdominal trauma: a retrospective study.Injury. 1997; 28: 261-265
- Diagnostic peritoneal lavage is superior to clinical evaluation in blunt abdominal trauma.Am Surg. 1978; 44: 637-641
- Diagnostic peritoneal lavage: integration with clinical information to improve diagnostic performance.J Trauma. 1992; 32: 52-57
- Diagnostic peritoneal lavage in blunt abdominal trauma.J Trauma. 1975; 15: 854-859
- Diagnostic imaging in blunt trauma of the abdomen.Surg Gynecol Obstet. 1983; 157: 389-398
- The complementary roles of diagnostic peritoneal lavage and computed tomography in the evaluation of blunt abdominal trauma.Surgery. 1989; 106: 794-801
- Trauma de abdomen. Cuanto tiempo es seguro observar?.in: Abstracts foro quirurgico Colombiano. 1995: 27
- Stab wounds to the anterior abdomen: analysis of a management plan using local wound exploration and quantitative peritoneal lavage.Ann Surg. 1983; 195: 411-419
- Evaluation of peritoneal lavage and local exploration in lower chest and abdominal stab wounds.J Trauma. 1977; 642: 642-648
- New concepts in the management of patients with penetrating abdominal wounds.Surg Clin North Am. 1999; 79: 1331-1356
- Blunt diaphragm injuries.Am Surg. 1990; 56: 28-31
- Emergent abdominal sonography as a screening test in a new diagnostic algorithm for blunt trauma.J Trauma. 1996; 40: 867-874
- Abdominal injuries without hemoperitoneum: a potential limitation of focused abdominal sonography for trauma (FAST).J Trauma. 1997; 42: 617-623
- Sonography in blunt abdominal trauma: a preliminary progress report.J Trauma. 1992; 33: 39-44
- Ultrasonography in the management of blunt abdominal and thoracic trauma.Arch Surg. 1994; 129: 743-747
- A comparison of sonographic examinations for trauma performed by surgeons and radiologists.J Trauma. 1998; 44: 604-608
- Institutional learning curve of surgeon-performed trauma ultrasound.Arch Surg. 1998; 133: 530-536
- 1000 consecutive ultrasounds for blunt abdominal trauma.J Trauma. 1996; 40: 607-612
- Systemic review and meta-analysis of emergency ultrasonography for blunt abdominal trauma.Br J Surg. 2001; 88: 901-912
- Diagnostic peritoneal lavage.Surgery. 1965; 57: 633-637
- Diagnostic peritoneal lavage in blunt abdominal trauma.Eur J Surg. 1991; 157: 449-451
- Management of patients with indeterminate diagnostic peritoneal lavage results following blunt trauma.J Trauma. 1991; 31: 1627-1631
- Peritoneal lavage in closed abdominal injury.Injury. 1985; 16: 227-229
- Is positive diagnostic peritoneal lavage an absolute indication for laparotomy in all patients with blunt trauma? The Montreal General Hospital experience.Can J Surg. 1991; 34: 442-445
- Diagnostic peritoneal lavage: limited indications due to evolving concepts in trauma care.Am Surg. 1991; 57: 126-128
- Five hundred open taps or lavages in patients with abdominal stab wounds.Am J Surg. 1984; 148: 772-777
- Penetrating abdominal wounds: rationale for exploratory laparotomy.JAMA. 1985; 253: 2705-2708
- Prospective study of computed tomography in initial management of blunt abdominal trauma.J Trauma. 1986; 26: 585-592
- Abdominal trauma: preoperative assessment and postoperative problems in intensive care.Anaesth Intensive Care. 1985; 13: 258-262
- Computerized tomography as an indicator of isolated mesenteric injury: a comparison with peritoneal lavage.Am Surg. 1990; 56: 806-810
- Mesenteric injury from blunt abdominal trauma.Am Surg. 1995; 61: 501-506
- Triple contrast tomography in the evaluation of penetrating posterior abdominal injuries.Arch Surg. 1987; 122: 1112-1115
- Triple-contrast CT scan in penetrating back and flank trauma.J Trauma. 1991; 31: 852-855
- The role of abdominal CT in the evaluation of stab wounds to the back.J Trauma. 1989; 29: 1226-1230
- The role of the CT scan in evaluation for laparotomy in patients with stab wounds of the abdomen.J Trauma. 1989; 29: 446-450
- Therapeutic laparoscopy for abdominal trauma.Surg Endosc. 2002; 17: 421-427
- Ruptura traumatica de diafragma: reparacion por via laparoscopica.Panamerican J Trauma. 1992; 2: 65
- Therapeutic laparoscopy in trauma.Am J Surg. 1995; 170: 632-636
- A prospective analysis of diagnostic laparoscopy in trauma.Ann Surg. 1993; 217: 557-565
- Diaphragmatic injury.in: Cameron J.L Current surgical therapy. 7th edition. Mosby, St. Louis2001: 1095-1100
- Nonoperative management of blunt liver injuries.Br J Surg. 1991; 78: 968-972
- Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial.Ann Surg. 1995; 221: 744-755
- Splenic injury in children after blunt trauma: blood transfusion requirements and length of hospitalization for laparotomy versus observation.J Pediatr Surg. 1994; 29: 596-598
- Nonoperative management of blunt splenic trauma in adults.Can J Surg. 1991; 34: 27-29
- Delay in diagnosing gastrointestinal injury after blunt abdominal injury in children.Can J Surg. 1985; 28: 138-140
- Early diagnosis of small intestine rupture from blunt abdominal trauma using computed tomography: significance of the streaky density within the mesentery.J Trauma. 1995; 38: 630-633
- The diagnostic superiority of computerized tomography.J Trauma. 1985; 25: 938-946
- Prospective comparison of diagnostic peritoneal lavage, computed tomographic scanning, and ultrasonography for the diagnosis of blunt abdominal trauma.J Trauma. 1993; 35: 267-270
- Nonoperative management of blunt abdominal trauma: the role of sequential diagnostic peritoneal lavage, computed tomography, and angiography.Ann Emerg Med. 1993; 22: 1556-1562
- Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis.J Trauma. 1995; 39: 818-827
- Splenic trauma: value of follow-up CT.Radiology. 1995; 194: 97-100
- Limited value of routine follow-up CT scans in nonoperative management of blunt liver and splenic injuries.Am Surg. 1996; 62: 883-886
- Splenic injury.in: Cameron J.L Current surgical therapy. 7th edition. Mosby, St. Louis2001: 1116-1121
- Pancreatic trauma.Surg Clin North Am. 1990; 70: 575-593
- Pancreatic trauma: a simplified management guideline.J Trauma. 1997; 43: 234-241
- Management of duodenal injuries.Curr Probl Surg. 1993; 30: 1023-1093
- Complex duodenal injuries.Surg Clin North Am. 1996; 76: 797-812
- Duodenal injuries.Surg Clin North Am. 1990; 70: 529-539
- Pancreatic and duodenal injuries.in: Cameron J.L Current surgical therapy. 7th edition. Mosby, St. Louis2001: 1104-1110
- Management of duodenal wounds.J Trauma. 1979; 19: 334-339
- Penetrating duodenal trauma.J Trauma. 1984; 24: 471-744
- Duodenal injuries: surgical management adapted to circumstances.Injury. 2002; 33: 611-615
- Severe duodenal injuries.Arch Surg. 1983; 118: 631-635
- Severe pancreatoduodenal injuries: the effectiveness of pyloric exclusion with vagotomy.Am Surg. 1992; 58: 557-561
- Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the EAST multi-institutional trial.J Trauma. 2003; 54: 289-294
- Relatively short diagnostic delays (< 8 hours) produce morbidity and mortality in blunt small bowel injury (SBI): an analysis of time to operative intervention in 198 patients from a multi-center experience.J Trauma. 2000; 48: 408-415
- Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial.J Trauma. 2003; 54: 295-306
- CT of blunt trauma bowel and mesenteric injury: typical findings and pitfalls in diagnosis.Radiographics. 2000; 20: 1525-1537
- Intra-abdominal free fluid without solid organ injury in blunt abdominal trauma: an indication for laparotomy.J Trauma. 2002; 52: 1134-1140
- Does free fluid on abdominal computed tomographic scan after blunt trauma require laparotomy?.J Trauma. 1998; 44: 599-603
- Free fluid on abdominal computed tomography without solid organ injury after blunt abdominal injury does not mandate celiotomy.Am J Surg. 2001; 182: 6-9
- Isolated free fluid on computed tomographic scan in blunt abdominal trauma: a systematic review of incidence and management.J Trauma. 2002; 53: 79-85
- Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma.J Trauma. 1998; 44: 889-892
- Cell count ratio: new criterion of diagnostic peritoneal lavage for detection of hollow organ perforation.J Trauma. 1998; 45: 540-544
- New diagnostic peritoneal lavage criteria for diagnosis of intestinal injury.J Trauma. 1998; 44: 991-999
- Injuries to the small and large bowel.in: Cameron J.L Current surgical therapy. 7th edition. Mosby, St. Louis2001: 1110-1113
- Management of perforating colon trauma: Randomized between primary closure and exteriorization.Ann Surg. 1979; 190: 430-436
- Management of penetrating colon injuries: a prospective randomized trial.Ann Surg. 1991; 213: 492-498
- Colorectal trauma: primary repair or anastomosis with intracolonic bypass vs ostomy.Dis Colon Rectum. 1992; 35: 957-963
- Primary repair of colon injuries: a prospective randomized study.J Trauma. 1995; 39: 895-901
- Colostomy in penetrating colon injury: is it necessary?.J Trauma. 1996; 41: 271-275
- Primary repair of colon wounds. A prospective trial in nonselected patients.Ann Surg. 1989; 209: 728-734
- Early closure of colostomies in trauma patients—a prospective randomized trial.Surgery. 1995; 118: 815-820
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