Penetrating Abdominal Trauma

  • Michael Smith
  • Fausto Vinces


Penetrating abdominal trauma represents the hallmark of the trauma surgeon. Both gunshot wounds and penetrating injuries are capable of causing significant morbidity or death in any aged population. It is important to remember that the injury identified superficially may not correlate with the degree of injury internally. The paradigm of immediate exploration for all patients has also come into question over the past three decades and has been shown to be less effective than other methods of investigation in the hemodynamically stable patient. Described below is an appropriate work-up of penetrating abdominal injury.


Gunshot wound Penetrating injury Abdominal trauma Laparotomy Local wound exploration 

Suggested Reading

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  4. Zajtchuk R, Jenkins DP, Bellamy RF, Quick CM, editors. Warfare, weaponry, and the casualty. In: Textbook of military medicine. Office of the Surgeon General, Department of the Army, United States of America; 1991.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Michael Smith
    • 1
  • Fausto Vinces
    • 2
  1. 1.Department of SurgeryWestchester Medical CenterValhallaUSA
  2. 2.Department of SurgeryVassar Brothers Medical CenterPoughkeepsieUSA

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