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Blunt abdominal trauma: Difference between revisions

Blunt abdominal trauma (view source)

Revision as of 08:49, 13 September 2024

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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]]
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</noinclude>