Advertisement

Blunt Abdominal Trauma

  • Denise Magalhães Machado
  • Eduardo Lopes Martins
  • Mariana F. Jucá Moscardi
  • Antonio Marttos
Chapter

Abstract

Among the main causes of death by trauma is bleeding due to abdominal organ injuries. The spleen and the liver are the organs that are more severely affected in blunt trauma. Nowadays exploratory laparotomy is not the only possible treatment in trauma; it is now possible to consider conservative treatment as well. FAST, computed tomography, and diagnostic peritoneal lavage can be used. Remember that physical exam fails in 30% of conscious patients. Patients who do not respond to initial volume replacement are candidates to exploratory laparotomy. However, in those who present hemodynamic stability, there is a considerable variation of conduct.

Keywords

Blunt abdominal trauma Abdominal trauma Shock Trauma FAST Laparotomy 

References

  1. 1.
    Kendall JL, et al. Blunt abdominal trauma patients are at very low risk for intra-abdominal injury after emergency department observation. West J Emerg Med. 2011;12(4):496–504.CrossRefGoogle Scholar
  2. 2.
    van der Vies CH, et al. Changing patterns in diagnostic strategies and the treatment of blunt injury to solid abdominal organs. Int J Emerg Med. 2011;4:47.CrossRefGoogle Scholar
  3. 3.
    Griffin XL, Pullinger R. Are diagnostic peritoneal lavage or focused abdominal sonography for trauma safe screening investigations for hemodynamically stable patients after blunt abdominal trauma? A review of the literature. J Trauma. 2007;62:779–84.CrossRefGoogle Scholar
  4. 4.
    Rhodes CM, Smith H, Sidwell RA. Utility and relevance of diagnostic peritoneal lavage in trauma education. J Surg Educ. 2011;68(4):313–7.CrossRefGoogle Scholar
  5. 5.
    Wang YC, et al. Hollow organ perforation in blunt abdominal trauma: the role of diagnostic peritoneal lavage. Am J Emerg Med. 2012;30:570–3.CrossRefGoogle Scholar
  6. 6.
    Feliciano DV, Mattox KL, Moore EF. Trauma. 6th ed. EUA: McGraw Hill; 2008.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Denise Magalhães Machado
    • 1
  • Eduardo Lopes Martins
    • 2
  • Mariana F. Jucá Moscardi
    • 3
  • Antonio Marttos
    • 4
  1. 1.Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  2. 2.Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  3. 3.Telemedicine and Trauma Research, University of Miami, Ryder Trauma CenterMiamiUSA
  4. 4.William Lehman Injury Research Center, Division of Trauma & Surgical Critical Care, Dewitt Daughtry Department of Surgery, Leonard M. Miller School of Medicine Miami, University of MiamiMiamiUSA

Personalised recommendations