PMID: 2363605Jul 1, 1990Paper

Intra-abdominal abscess after blunt abdominal trauma

Annals of Surgery
W A GoinsD Jacobs

Abstract

The relationship between blunt abdominal trauma and intra-abdominal abscess (IAA) is discussed infrequently; therefore we conducted a retrospective review of 4050 multiple blunt trauma admissions from January 1986 to July 1988. Of 325 patients who had a laparotomy for blunt abdominal trauma, we identified 15 (4.6%) who had 40 IAAs. The most common intra-abdominal injuries involved the spleen and liver. Splenectomy increased the risk for IAA in contrast to splenic salvage. Blunt injuries to the kidney and pancreas, when occurring in multiple trauma patients, carried a significant risk of IAA. Associated multiple extra-abdominal injuries and high transfusion requirements increased the risk for IAA formation. Most of the IAAs were located in the upper quadrants. There was a 46% incidence of multiple IAA, which in turn had an 80% chance of recurrence after initial drainage. Enterobacter species played an important role in the formation of IAA in our trauma patients. Three patients (20%) died. Poor prognostic indicators included a high injury severity score, high transfusion requirements, the presence of pelvic fracture, positive blood cultures, multiple organisms per abscess, and multiple-organ system failure.

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References

Jun 1, 1978·American Journal of Surgery·T DriverB Eiseman
Feb 1, 1988·American Journal of Surgery·C M ScottE F Hirsch
Aug 1, 1988·The Journal of Trauma·R R IvaturyW M Stahl
Oct 1, 1986·Annals of Surgery·D V FelicianoP A Cruse
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Sep 17, 1981·The New England Journal of Medicine·S G GerzofD C Nabseth

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Citations

Jan 8, 2000·The Surgical Clinics of North America·R P Rabinowitz, E S Caplan
May 15, 2004·Surgical Infections·Jose J DiazJohn A Morris
Nov 11, 2010·Journal of Emergencies, Trauma, and Shock·Isaac HowleyCharles A Adams
Sep 29, 2018·BMJ Case Reports·Shinban LiuGeorge Ferzli
Jul 1, 1994·The Australian and New Zealand Journal of Surgery·B T StewartP D Danne
May 20, 2016·Clinical & Translational Immunology·Md Nahidul IslamRhodri Ceredig
Feb 7, 1995·Journal of Intensive Care Medicine·D E DupuyM P Fink
Nov 10, 2007·Revista Da Sociedade Brasileira De Medicina Tropical·Juliana Salles de CarvalhoGustavo Adolfo Sierra Romero
May 25, 2021·Gastroenterology Clinics of North America·Dakota T Thompson, Jennifer E Hrabe

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