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Penetrating Abdominal Trauma

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Abstract

A 24-year-old male is brought to the emergency room following a gunshot wound (GSW) to the left lower abdomen. On initial examination his blood pressure is 80/65 mmHg, heart rate is 140/min, and respiratory rate is 26/min. He is pale, diaphoretic, and writhing in pain. The patient’s airway is patent, and there are equal breath sounds bilaterally. He has a rigid abdomen with diffuse tenderness, guarding, and rebound. There is a single GSW to the left lower quadrant. Palpation of the patient’s groin reveals pulses are bilaterally weak but symmetrical.

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Suggested Readings

  • Nicholas JM, Rix EP, Easley KA, et al. Changing patterns in the management of penetrating abdominal trauma: the more things change, the more they stay the same. J Trauma. 2003;55:1095.

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  • Velmahos GC, Demetriades D, Toutouzas KG, et al. Selective nonoperative management in 1,856 patients with abdominal gunshot wounds: should routine laparotomy still be the standard of care? Ann Surg. 2001;234:395.

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Correspondence to Jeffry Nahmias .

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Nahmias, J., Grigorian, A., Kim, D.Y. (2020). Penetrating Abdominal Trauma. In: de Virgilio, C., Grigorian, A. (eds) Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-05387-1_43

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  • DOI: https://doi.org/10.1007/978-3-030-05387-1_43

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05386-4

  • Online ISBN: 978-3-030-05387-1

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