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Blunt abdominal trauma: Difference between revisions
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'''Blunt trauma to the abdomen''' occur in most cases due to motor vehicle accidents, crime, or falls. This form of trauma may cause organ contusion, rupture, and/or crushing. Any abdominal or pelvic organ may be affected, but injuries to the spleen and liver are most common. | <section begin="traumatology" />'''Blunt trauma to the abdomen''' occur in most cases due to motor vehicle accidents, crime, or falls. This form of trauma may cause organ contusion, rupture, and/or crushing. Any abdominal or pelvic organ may be affected, but injuries to the spleen and liver are most common. | ||
Patients may be haemodynamically unstable due to large intraabdominal bleeding, requiring urgent stabilisation. | Patients may be haemodynamically unstable due to large intraabdominal bleeding, requiring urgent stabilisation. | ||
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In case eFAST does not detect any pathology, an abdominal CT scan should be performed if the risk for intra-abdominal injury isn’t low. If the abdominal CT shows injury, emergency laparotomy should be performed. | In case eFAST does not detect any pathology, an abdominal CT scan should be performed if the risk for intra-abdominal injury isn’t low. If the abdominal CT shows injury, emergency laparotomy should be performed. | ||
Laparotomy allows for direct visualisation of all abdominal organs, providing the best visualisation of any possible injuries. It is indicated if intra-abdominal bleeding is detected (on US or CT), the patient is haemodynamically unstable, or there are signs of [[peritonitis]]. In the operating room, tears and lacerations may be sutured or compressed to stop bleeding, and injured parts of organs may be resected.<noinclude> | Laparotomy allows for direct visualisation of all abdominal organs, providing the best visualisation of any possible injuries. It is indicated if intra-abdominal bleeding is detected (on US or CT), the patient is haemodynamically unstable, or there are signs of [[peritonitis]]. In the operating room, tears and lacerations may be sutured or compressed to stop bleeding, and injured parts of organs may be resected.<section end="traumatology" /><noinclude> | ||
[[Category:Traumatology]] | [[Category:Traumatology]] | ||
</noinclude> | </noinclude> | ||