The spectrum and outcome of blunt trauma related enteric hollow visceral injury

Annals of the Royal College of Surgeons of England
W BekkerD L Clarke

Abstract

Introduction This audit focused on patients who sustained enteric injury following blunt abdominal trauma. Methods Our prospectively maintained electronic registry was interrogated retrospectively, and all patients who had sustained blunt abdominal trauma between December 2011 and January 2016 were identified. Results Overall, 2,045 patients had sustained blunt abdominal trauma during the period under review. Seventy per cent were male. The median age was 28 years. Sixty patients (2.9%) sustained a small bowel injury (SBI). Thirty-five of these were peritonitic on presentation. All patients with a SBI had a chest x-ray and free air was present in seven. In 18 patients with a SBI, computed tomography (CT) was performed, which revealed isolated free fluid in 12 and free intraperitoneal air in 5. In five cases, the CT was normal. A total of 32 patients (1.5%) sustained blunt duodenal trauma (BDT). All patients with BDT had a chest x-ray on presentation. Free intraperitoneal air was not present in any. CT was performed on 17 patients with BDT. This revealed isolated free fluid or retroperitoneal air in 12. The median delay between injury and presentation for these enteric injures was 15.5 hours (interquartile range [IQR]: 8-25 hour...Continue Reading

References

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Aug 9, 2016·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·G V OosthuizenD L Clarke

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Citations

Jan 12, 2019·The Journal of Trauma and Acute Care Surgery·Samir M FakhryUNKNOWN EAST small bowel perforation (SBP) Multi-Center Study Group
Aug 28, 2019·Journal of Clinical Medicine·Chien-Hung LiaoChih-Yuan Fu
Jun 26, 2020·Journal of Indian Association of Pediatric Surgeons·Subhankar ChakravortyKaushik Saha
Jul 31, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Arnold J SudaDavid Eschmann

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Methods Mentioned

BETA
surgical resections

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