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Radiographic evaluation of the patient with sport-related abdominal trauma

  • Abdominal Conditions
  • Published:
Current Sports Medicine Reports

Abstract

Abdominal injuries are rare in sports, but they can be very serious, even life threatening when they occur. With the increasing popularity of snowboarding and extreme skiing, the rate of abdominal injuries is beginning to rise slightly. It is imperative that physicians be able to recognize signs of injury to the liver, spleen, kidney, and hollow abdominal viscera and order appropriate diagnostic tests to investigate these injuries. This article focuses on the imaging modalities physicians can use to assist in diagnosis of sport-related abdominal trauma. Although the sports medicine physician will likely not provide definitive care and treatment of these injuries, because a team approach works best, it is important to know how to diagnose them through the proper studies.

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References and Recommended Reading

  1. Wan J, Corvino TF, Greenfield SP, et al.:The incidence of recreational genitourinary and abdominal injuries in the western New York pediatric population.J Urol 2003,170:1525–1527.

    Article  PubMed  Google Scholar 

  2. Berqvist D, Hedelin H, Karlsson G, et al.:Abdominal trauma during thirty years: analysis of a large case series.Injury 1981,13:93–99.

    Article  Google Scholar 

  3. Stricker PR, Hardin BH, Puffer JC:An unusual presentation of liver laceration in a 13 year old football player.Med Sci Sports Exerc 1993,25:667–672.

    PubMed  CAS  Google Scholar 

  4. Arisawa F, Kogure K, Tsuzuki Y, et al.:Snowboarding splenic injury: four case reports.Injury 2002,33:173–177.

    Article  PubMed  Google Scholar 

  5. Gangemi JJ, Bins O, Young JS:Splenic injury after athletic trauma: a case report of splenic injury induced by a lacrosse ball.J Trauma 1999,46:736–737.

    Article  PubMed  CAS  Google Scholar 

  6. Nehoda H, Hochleitner BW, Hournmont K, et al.:Central liver hematomas caused by mountain-bike crashes.Injury 2001,32:285–287.

    Article  PubMed  CAS  Google Scholar 

  7. Aherne NJ, Kavanagh EG, Condon ET, et al.:Duodenal perforation after a blunt abdominal sporting injury: the importance of early diagnosis.J Trauma 2003,54:791–794.

    Article  PubMed  Google Scholar 

  8. Rifat SF, Gilvydis RP:Blunt abdominal trauma in sports.Curr Sports Med Rep 2003,2:93–97.

    PubMed  Google Scholar 

  9. Grainger RG, Alison D, Adam A, et al.:Grainger & Alison’s Diagnostic Radiology: A Textbook of Medical Imaging, edn 4. London: Churchill Livingstone; 2001.

    Google Scholar 

  10. Richardson MC, Hollman AS, Davis CF:Comparison of computed tomography and ultrasonographic imaging in the assessment of blunt abdominal trauma in children.Br J Surg 1997,84:1144–1146.

    Article  PubMed  CAS  Google Scholar 

  11. Filiatrault D, Garel L:Paediatric blunt abdominal trauma — to sound or not to sound.Pediatr Radiol 1995,25:329–331.

    Article  PubMed  CAS  Google Scholar 

  12. Raptopoulous V:Abdominal trauma: emphasis on CT.Radiol Clin North Am 1984,32:969–984.

    Google Scholar 

  13. Sivit CJ, Kaufman RA:Commentary: sonography in the evaluation of children following blunt abdominal trauma: is it to be or not to be? Pediatr Radiol 1995,25:326–328.

    Article  PubMed  CAS  Google Scholar 

  14. Hoffman R, Nerlich M, Muggia-Sullam M, et al.:Blunt abdominal trauma in cases of multiple trauma evaluated by ultrasonography: aprospective analysis of 291 patients.J Trauma 1992,32:452–458.

    Article  Google Scholar 

  15. Amaral JF:Thoracoabdominal injuries in the athlete.Clin Sports Med 1997,16:739–753.

    Article  PubMed  CAS  Google Scholar 

  16. Fabian TC, Croce MA:Abdominal Trauma, Including Indications for Celiotomy. InTrauma, edn 3. Edited by Feliciano DV, Moore EE, Mattox KL. Stamford, CT: Appelton & Lange; 1996:441–459.

    Google Scholar 

  17. Klinger PL, Wetscher G, Glaser K, et al.:The use of ultrasound to differentiate rectus sheath hematoma from other acute abdominal disorders.Surg Endosc 1999,13:1129–1134.

    Article  Google Scholar 

  18. Parmelee-Peters K, Moeller JL:Liver trauma in a high school football player.Curr Sports Med Rep 2004,3:95–99.

    PubMed  Google Scholar 

  19. Sivit CJ, Eichelberger M, Taylor L:Blunt pancreatic trauma in children: CT diagnosis.Am J Radiol 1992,158:1097–1100.

    CAS  Google Scholar 

  20. Shuman WP:CT of blunt abdominal trauma in adults.Radiology 1997,205:297–306.

    PubMed  CAS  Google Scholar 

  21. Rance CH, Bear JW: CT in the management of paediatric abdominal trauma.Aust N Z J Surg 1980,50:506–512.

    Article  PubMed  CAS  Google Scholar 

  22. Amoroso TA: Evaluation of the patient with blunt abdominal trauma: an evidence based approach.Emerg Med Clin North Ant 1999,17:63–65.

    Article  CAS  Google Scholar 

  23. Schneider TM: Commentary: abdominal injuries from snowboarding.West J Med 2001,175:17–18.

    Article  PubMed  CAS  Google Scholar 

  24. Becker CD, Mentha G, Terrier F: Blunt abdominal trauma in adults: roles of CT in the diagnosis and management of visceral injuries. Part I: liver and spleen.Eur Radiol 1998,8:553–562.

    Article  PubMed  CAS  Google Scholar 

  25. Parks RW, Chrysos E, Diamond T: Management of liver trauma.Br J Surg 1999,86:1121–1135.

    Article  PubMed  CAS  Google Scholar 

  26. Pachter HL, Knudson MM, Esrig B, et al: The status of nonoperative management of blunt hepatic injuries in 1995: a multi-center experience with 404 patients.J Trauma 1996,40:31–38.

    Article  PubMed  CAS  Google Scholar 

  27. Umlas SL, Cronan JJ:Splenic trauma: can CT grading systems enable prediction of successful nonsurgical treatment? Radiology 1991,178:481–487.

    PubMed  CAS  Google Scholar 

  28. Pappas D, Mirvis SE, Crepps JT: Splenic trauma: false-negative CT diagnosis in cases of delayed rupture.Am J Roentgenol 1987,149:727–728.

    CAS  Google Scholar 

  29. Berkovich GY, Ramchandani P, Preate DL, et al.:Renal vein thrombosis after martial arts trauma.J Trauma 2001,50:144–146.

    Article  PubMed  CAS  Google Scholar 

  30. Copel L, Sosna J, Weeks D, et al.:Use of the three-dimensional CT in the abdomen: a useful preoperative planning tool.Surg Technol Int 2003,11:71–78.

    PubMed  Google Scholar 

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Correspondence to Kevin D. Walter MD.

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Walter, K.D. Radiographic evaluation of the patient with sport-related abdominal trauma. Curr Sports Med Rep 6, 115–119 (2007). https://doi.org/10.1007/BF02941152

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