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Traumatic Small Bowel and Mesentery Injuries (SBMI)

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Trauma Surgery

Abstract

The small bowel is the most frequently involved hollow viscus in abdominal trauma. Injuries occur more often after penetrating than blunt trauma. In the presence of free peritoneal fluid or air at radiology, an injury of the intestine must be excluded. The simultaneous trauma of solid organs makes the diagnosis of bowel lesion more tricky. Clinical examination and laboratory and radiological findings are useful for prompt diagnosis, but traumatic small bowel injuries remain a diagnostic challenge. Success of treatment is mainly related to early surgery, normal blood pressure, and limited extension of injury.

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References

  1. Watts DD, Fakhry SM (2003) Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the EAST multi institutional trial. J Trauma 54:289–294

    Article  PubMed  Google Scholar 

  2. Hackam DJ, Ali J, Jastaniah SS (2000) Effects of other intra-abdominal injuries on the diagnosis, management, and outcome of small bowel trauma. J Trauma 49:606–610

    Article  CAS  PubMed  Google Scholar 

  3. Wilson RF, Walt AJ (1996) Injury to the stomach and small bowel. In: Wilson RF, Walt AJ (eds) Management of trauma, pitfalls and practice, 2nd edn. Williams & Wilkins, Baltimore, pp 497–509

    Google Scholar 

  4. Tsushima Y, Yamada S, Aoki J, Endo K (2001) Ischaemic ileal stenosis following blunt abdominal trauma and demonstrated by CT. Br J Radiol 74:277–279

    CAS  PubMed  Google Scholar 

  5. Wisner DH (2000) Stomach and small bowel. In: Mattox KL, Feliciano DV, Moore EE (eds) Trauma, 4th edn. Mc Graw-Hill, New York, pp 713–734

    Google Scholar 

  6. Garrett JW, Braunstein PW (1962) The seatbelt syndrome. J Trauma 2:220–238

    Article  CAS  PubMed  Google Scholar 

  7. Chandler CF, Lane JS, Waxman KS (1997) Seatbelt sign following blunt trauma is associated with increased incidence of abdominal injury. Am Surg 63:885–888

    CAS  PubMed  Google Scholar 

  8. Nance ML, Peden GW, Shapiro MB, Kauder DR, Rotondo MF, Schwab CW (1997) Solid viscous injury predicts major hollow viscous injury in blunt abdominal trauma. J Trauma 43:618–622

    Article  CAS  PubMed  Google Scholar 

  9. Faria GR, Almeida AB (2012) Prognostic factors for traumatic bowel injuries: killing time. World J Surg 36:807–812

    Article  PubMed  Google Scholar 

  10. Moss RL, Musemeche CA (1996) Clinical judgment is superior to diagnostic tests in the management. J Pediatr Surg 31:1178–1182

    Article  CAS  PubMed  Google Scholar 

  11. Frick EJ, Pasquale MD, Cipolle MD (1999) Small-Bowel and mesentery injuries in blunt trauma. J Trauma 46(5):920–926

    Article  PubMed  Google Scholar 

  12. Stafford RE, McGonigal MD, Weigelt JA, Johnston TJ (1999) Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study. Arch Surg 134:622–626

    Article  CAS  PubMed  Google Scholar 

  13. Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D (2000) Relatively short diagnostic delays (< 8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. J Trauma 48(3):408–414; discussion 414–415

    Article  CAS  PubMed  Google Scholar 

  14. Ivatury RR, Simon RJ, Stahl WM (1993) A critical evaluation of laparoscopy in penetrating abdominal trauma. J Trauma 34:822–827; discussion 827–828

    Article  CAS  PubMed  Google Scholar 

  15. Kawahara NT, Alster C, Fujimura I, Poggetti RS, Birolini D (2009) Standard examination system for laparoscopy in penetrating abdominal trauma. J Trauma 67:589–595

    Article  PubMed  Google Scholar 

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Correspondence to Fausto Catena MD .

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© 2014 Springer-Verlag Italia

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Rossi, G., Di Saverio, S., Tarasconi, A., Catena, F. (2014). Traumatic Small Bowel and Mesentery Injuries (SBMI). In: Di Saverio, S., Tugnoli, G., Catena, F., Ansaloni, L., Naidoo, N. (eds) Trauma Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5459-2_13

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  • DOI: https://doi.org/10.1007/978-88-470-5459-2_13

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5458-5

  • Online ISBN: 978-88-470-5459-2

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