Skip to main content

Abdominal Trauma

  • Chapter
Surgery

Abstract

Traumatic injury remains the great killer of young adults, accounting for a greater percentage of productive years of life lost than heart disease and cancer combined. Of all the injury-related deaths in the United States, approximately 39% involve blunt impact injury, principally vehicular accidents, falls, and pedestrians struck by motor vehicles. Interpersonal assault and violence, principally stab wounds and gunshot wounds, account for the bulk of penetrating trauma deaths, representing approximately 25%. The remainder of injury-related deaths are caused by burns, drowning, strangulation, or poisoning.1 Abdominal injuries have been reported to occur in approximately 25% of major trauma victims, and often involve multiple organ injuries (Table 36.1A).2 Multiple system injuries involving head and/or thoracic injuries are common, and may complicate the management of abdominal injuries (Table 36.1B).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. National Center for Injury Prevention and Control: http://www.cdc.gov/ncipc/.

  2. Fabian TC, Croce MA. Abdominal trauma, including indication for celiotomy. In: Mattox KL, Moore EE, Feliciano DV, eds. Trauma, 3rd Ed. Stamford: Appleton & Lange, 1996.

    Google Scholar 

  3. Shackford SR, Mackersie RC, Holbrook TL, et al. The epidemiology of traumatic death: a population-based analysis. Arch Surg 1993; 128: 571–575.

    PubMed  CAS  Google Scholar 

  4. Davis JW, Hoyt DB, McArdle MS, et al. An analysis of errors causing morbidity and mortality in a trauma system: a guide for quality improvement. J Trauma 1992; 32: 660–666.

    PubMed  CAS  Google Scholar 

  5. Cales RH, Trunkey DD. Preventable trauma deaths: a review of trauma care systems development. JAMA 1985; 254: 1059–1063.

    PubMed  CAS  Google Scholar 

  6. Powell DC, Bivins BA, Bell RM. Diagnostic peritoneal lavage. Surg Gynecol Obstet 1982; 155: 257–264.

    PubMed  CAS  Google Scholar 

  7. Rodriguez A, DuPriest RW Jr, Shatney CH. Recognition of intra-abdominal injury in blunt trauma victims. A prospective study comparing physical examination with peritoneal lavage. Am Surg 1982; 48 (9): 457–459.

    PubMed  CAS  Google Scholar 

  8. Bivins BA, Sachatello CR, Daugherty ME, et al. Diagnostic peritoneal lavage is superior to clinical evaluation in blunt abdominal trauma. Am Surg 1978; 44: 637–641.

    PubMed  CAS  Google Scholar 

  9. Schwab CW, Shayne JP, Turner J. Immediate trauma resuscitation with type O uncrossmatched blood: a two-year prospective experience. J Trauma 1986; 26 (10): 897–902.

    PubMed  CAS  Google Scholar 

  10. Lefebre J, McLellan BA, Coovadia AS. Seven years experience with group O unmatched packed red blood cells in a regional trauma unit. Ann Emerg Med 1987; 16 (12): 1344–1349.

    PubMed  CAS  Google Scholar 

  11. Schwab CW, Civil I, Shayne JP. Saline-expanded group O uncrossmatched packed red blood cells as an initial resuscitation fluid in severe shock. Ann Emerg Med 1986; 15 (11): 1282–1287.

    PubMed  CAS  Google Scholar 

  12. Gervin AS, Fischer RP. Resuscitation of trauma patients with type-specific uncrossmatched blood. J Trauma 1984;24(4):327–331.

    Google Scholar 

  13. Blumberg N, Bove JR. Un-cross-matched blood for emergency transfusion. One year’s experience in a civilian setting. JAMA 1978; 240 (19): 2057–2059.

    PubMed  CAS  Google Scholar 

  14. Knudson MM, McAninch JW, Gomez R, et al. Hematuria as a predictor of abdominal injury after blunt trauma. Am J Surg 1992; 164 (5): 482–485.

    PubMed  CAS  Google Scholar 

  15. Chandler CF, Lane JS, Waxman KS. Seatbelt sign following blunt trauma is associated with increased incidence of abdominal injury. Am Surg 1997; 63 (10): 885–888.

    PubMed  CAS  Google Scholar 

  16. Sturm JT, Perry JF Jr. Injuries associated with fractures of the transverse processes of the thoracic and lumbar vertebrae. J Trauma 1984; 24 (7): 597–599.

    PubMed  CAS  Google Scholar 

  17. Mackersie RC, Tiwary AD, Shackford SR, Hoyt DB. Intraabdominal injury following blunt trauma: identifying the high risk patient using objective risk factors. Arch Surg 1989; 7: 809–813.

    Google Scholar 

  18. Root HD, Hauser CW, McKinley CR, et al. Diagnostic peritoneal lavage. Surgery (St. Louis) 1965; 57: 633–637.

    CAS  Google Scholar 

  19. Alyono D, Morrow CE, Perry JF. Reappraisal of diagnostic peritoneal lavage criteria for operation in penetrating and blunt trauma. Surgery (St. Louis) 1982; 92: 751–757.

    CAS  Google Scholar 

  20. Oreskovich MR, Carrico CJ. Stab wounds of the anterior abdomen: analysis of a management plan using local wound exploration and quantitative peritoneal lavage. Ann Surg 1983; 198: 411–418.

    PubMed  CAS  Google Scholar 

  21. Merlotti GJ, Marcet E, Sheaff CM, et al. Use of peritoneal lavage to evaluate abdominal penetration. J Trauma 1985; 25: 228–231.

    PubMed  CAS  Google Scholar 

  22. Liu M, Lee CH, P’eng FK. Prospective comparison of diagnostic peritoneal lavage, computed tomographic scanning, and ultrasonography for the diagnosis of blunt abdominal trauma. J Trauma 1993; 35 (2): 267–270.

    PubMed  CAS  Google Scholar 

  23. Fabian TC, Mangiante EC, White TJ, et al. A prospective study of 91 patients undergoing both computed tomography and peritoneal lavage following blunt abdominal trauma. J Trauma 1986; 26: 602.

    PubMed  CAS  Google Scholar 

  24. Peitzman AB, Makaroun MS, Slasky BS, Ritter P. Prospective study of computed tomography in initial management of blunt abdominal trauma. J Trauma 1986; 26: 585–592.

    PubMed  CAS  Google Scholar 

  25. McKenney M, Lentz K, Nunez D, et al. Can ultrasound replace diagnostic peritoneal lavage in the assessment of blunt trauma? [see comments]. J Trauma 1994; 37 (3): 439–441.

    PubMed  CAS  Google Scholar 

  26. Yoshii H, Sato M, Yamamoto S, et al. Usefulness and limitations of ultrasonography in the initial evaluation of blunt abdominal trauma. J Trauma 1998; 45 (1): 45–50.

    PubMed  CAS  Google Scholar 

  27. Singh G, Arya N, Safaya R, et al. Role of ultrasonography in blunt abdominal trauma. Injury 1997; 28 (9–10): 667–670.

    PubMed  CAS  Google Scholar 

  28. Rozycki GS, Ochsner MG, Schmidt JA, et al. A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment. J Trauma 1995; 39 (3): 492–498.

    PubMed  CAS  Google Scholar 

  29. Ortega AE, Tang E, Froes ET, Asensio JA, Katkhouda N, Demetriades D. Laparoscopic evaluation of penetrating thoracoabdominal traumatic injuries. Surg Endosc 1996; 10 (1): 19–22.

    PubMed  CAS  Google Scholar 

  30. Sosa JL, Arrillaga A, Puente I, Sleeman D, Ginzburg E, Martin L. Laparoscopy in 121 consecutive patients with abdominal gun- shot wounds. J Trauma 1995;39(3):501–504, discussion 504–506.

    PubMed  CAS  Google Scholar 

  31. Ivatury RR, Simon RJ, Stahl WM. A critical evaluation of laparoscopy in penetrating abdominal trauma. J Trauma 1993; 34(6):822–827, discussion 827–828.

    PubMed  CAS  Google Scholar 

  32. Blow O, Bassam D, Butler K, et al. Speed and efficiency in the resuscitation of blunt trauma patients with multiple injuries: the advantage of diagnostic peritoneal lavage over abdominal computerized tomography. J Trauma 1998; 44 (2): 287–290.

    PubMed  CAS  Google Scholar 

  33. Sherck J, Shatney C, Sensaki K, Selivanov V. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg 1994; 168 (6): 670–675.

    PubMed  CAS  Google Scholar 

  34. Udekwu PO, Gurkin B, Oller DW. The use of computed tomography in blunt abdominal injuries. Am Surg 1996; 62 (1): 56–59.

    PubMed  CAS  Google Scholar 

  35. Davis JW, Hoyt DB, Mackersie RC, McArdle MS. Complications in evaluating abdominal trauma: diagnostic peritoneal lavage versus computerized axial tomography. J Trauma 1990, 30: 1506–1509.

    PubMed  CAS  Google Scholar 

  36. Han DC, Rozycki GS, Schmidt JA, Feliciano DV. Ultrasound training during ATLS: an early start for surgical interns. J Trauma 1996; 41 (2): 208–213.

    PubMed  CAS  Google Scholar 

  37. Rozycki GS, Ochsner MG, Feliciano DV, et al. Early detection of hemoperitoneum by ultrasound examination of the right upper quadrant: a multicenter study. J Trauma 1998; 45 (5): 878–883.

    PubMed  CAS  Google Scholar 

  38. Thomas B, Falcone RE, Vasquez D, et al. Ultrasound evaluation of blunt abdominal trauma: program implementation, initial experience, and learning curve. J Trauma 1997; 42 (3): 384–388.

    PubMed  CAS  Google Scholar 

  39. Smith RS, Kern SJ, Fry WR, Helmer SD. Institutional learning curve of surgeon-performed trauma ultrasound [see comments]. Arch Surg 1998; 133 (5): 530–535.

    PubMed  CAS  Google Scholar 

  40. Salvino CK, Esposito TJ, Marshall WJ, Dries DJ, Morris RC, Gamelli RL. The role of diagnostic laparoscopy in the management of trauma patients: a preliminary assessment. J Trauma 1993;34(4):506–513; discussion 513–515.

    PubMed  CAS  Google Scholar 

  41. Chen RJ, Fang JF, Lin BC, et al. Selective application of laparoscopy and fibrin glue in the failure of nonoperative management of blunt hepatic trauma. J Trauma 1998; 44 (4): 691–695.

    PubMed  CAS  Google Scholar 

  42. Slim K, Bousquet J, Chipponi J. Laparoscopie repair of missed blunt diaphragmatic rupture using a prosthesis. Surg Endosc 1998; 12 (11): 1358–1360.

    PubMed  CAS  Google Scholar 

  43. Peck JJ, Berne TV. Posterior abdominal stab wounds. J Trauma 1981;14:298–306.

    Google Scholar 

  44. Kirton OC, Wint D, Thrasher B, et al. Stab wounds to the back and flank in the hemodynamically stable patient: a decision algorithm based on contrast-enhanced computed tomography with colonic opacification. Am J Surg 1997; 173 (3): 189–193.

    PubMed  CAS  Google Scholar 

  45. Meyer DM, Thal ER, Weigelt JA, Redman HC. The role of abdominal CT in the evaluation of stab wounds to the back [see comments]. J Trauma 1989; 29 (9): 1226–1228.

    PubMed  CAS  Google Scholar 

  46. McAllister E, Perez M, Albrink MH, et al. Is triple contrast cornputed tomographic scanning useful in the selective management of stab wounds to the back? J Trauma 1994; 37 (3): 401–403.

    PubMed  CAS  Google Scholar 

  47. Ledgerwood AM, Kazmers M, Lucas CE. The role of thoracic aortic occlusion for massive hemoperitoneum. J Trauma 1976; 16 (8): 610–615.

    PubMed  CAS  Google Scholar 

  48. Rotondo MF, Schwab CW, McGonigal MD, et al. ‘Damage control’: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma 1993; 35 (3): 375–382.

    PubMed  CAS  Google Scholar 

  49. Carrillo EH, Spain DA, Wilson MA, Miller FB, et al. Alternatives in the management of penetrating injuries to the iliac vessels. J Trauma 1998; 44 (6): 1024–1029.

    PubMed  CAS  Google Scholar 

  50. Morris JA Jr, Eddy VA, Blinman TA, et al. The staged celiotomy for trauma. Issues in unpacking and reconstruction. Ann Surg 1993;217(5):576–584; discussion, 584–586.

    PubMed  Google Scholar 

  51. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision). J Trauma 1995; 38 (3): 323–324.

    PubMed  CAS  Google Scholar 

  52. Cue JI, Cryer HG, Miller FB, et al. Packing and planned reexploration for hepatic and retroperitoneal hemorrhage: critical refinements of a useful technique. J Trauma 1990; 30 (8): 1007–1011.

    PubMed  CAS  Google Scholar 

  53. Krige JE, Bornman PC, Terblanche J. Liver trauma in 446 patients. S Mr J Surg 1997; 35 (1): 10–15.

    CAS  Google Scholar 

  54. Denton JR, Moore EE, Coldwell DM. Multimodality treatment for grade V hepatic injuries: perihepatic packing, arterial embolization, and venous stenting. J Trauma 1997; 42 (5): 964–967.

    PubMed  CAS  Google Scholar 

  55. Pachter HL, Feliciano DV. Complex hepatic injuries. Surg Clin North Am 1996; 7641: 763–782.

    Google Scholar 

  56. Helling TS, Morse G, McNabney WK, et al. Treatment of liver injuries at level I and level II centers in a multi-institutional metropolitan trauma system. The Midwest Trauma Society Liver Trauma Study Group. J Trauma 1997; 4 (6): 1091–1096.

    Google Scholar 

  57. Reed RL II, Merrell RC, Meyers WC, Fischer RP. Continuing evolution in the approach to severe liver trauma [see comments]. Ann Surg 1992; 216 (5): 524–538.

    PubMed  Google Scholar 

  58. Fabian TC, Croce MA, Stanford GG, et al. Factors affecting morbidity following hepatic trauma. A prospective analysis of 482 injuries. Ann Surg 1991; 213 (6): 540–547.

    PubMed  CAS  Google Scholar 

  59. Chen RJ, Fang JF, Lin BC, Jeng LB, Chen MF. Surgical management of juxtahepatic venous injuries in blunt hepatic trauma. J Trauma 1995; 38 (6): 886–890.

    PubMed  CAS  Google Scholar 

  60. Flint LM Jr, Polk HC Jr. Selective hepatic artery ligation: limitations and failures. J Trauma 1979; 19 (5): 319–323.

    PubMed  Google Scholar 

  61. Ciraulo DL, Luk S, Palter M, et al. Selective hepatic arterial embolization of grade IV and V blunt hepatic injuries: an extension of resuscitation in the nonoperative management of traumatic hepatic injuries. J Trauma 1998; 45 (2): 353–358.

    PubMed  CAS  Google Scholar 

  62. Burch JM, Feliciano DV, Mattox KL. The atriocaval shunt. Facts and fiction. Ann Surg 1988; 207 (5): 555–568.

    PubMed  CAS  Google Scholar 

  63. Kudsk KA, Sheldon GF, Lim RC Jr. Atrial-caval shunting (ACS) after trauma. J Trauma 1982; 22 (2): 81–85.

    PubMed  CAS  Google Scholar 

  64. Rogers FB, Reese J, Shackford SR, Osier TM. The use of venovenous bypass and total vascular isolation of the liver in the surgical management of juxtahepatic venous injuries in blunt hepatic trauma. J Trauma 1997; 43 (3): 530–533.

    PubMed  CAS  Google Scholar 

  65. Carrillo EH, Spain DA, Miller FB, Richardson JD. Intrahepatic vascular clamping in complex hepatic vein injuries. J Trauma 1997; 43 (1): 131–133.

    PubMed  CAS  Google Scholar 

  66. Brasel KJ, DeLisle CM, Olson CJ, Borgstrom DC. Trends in the management of hepatic injury. Am J Surg 1997; 174 (6): 674–677.

    PubMed  CAS  Google Scholar 

  67. Internet website: Eastern Association for the Surgery of Trauma (EAST). http://www.east.org http://www.east.org.

  68. Internet website: Agency for Health Care Policy & Research (AHCPR). http://www.ahcpr.gov/ .

  69. Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients. J Trauma 1996; 40 (1): 31–38.

    PubMed  CAS  Google Scholar 

  70. Croce MA, Fabian TC, Menke PG, et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial. Ann Surg 1995;221(6):744–753; discussion 753–755.

    Google Scholar 

  71. Boone DC, Federle M, Billiar TR, Udekwu AO, Peitzman AB. Evolution of management of major hepatic trauma: identification of patterns of injury. J Trauma 1995; 39 (2): 344–355.

    PubMed  CAS  Google Scholar 

  72. Sherman HF, Savage BA, Jones LM, et al. Nonoperative management of blunt hepatic injuries: safe at any grade? J Trauma 1994; 37 (4): 616–621.

    PubMed  CAS  Google Scholar 

  73. Brasel KJ, DeLisle CM, Olson CJ, Borgstrom DC. Trends in the management of hepatic injury. Am J Surg 1997; 174 (6): 674–677.

    PubMed  CAS  Google Scholar 

  74. Becker CD, Gal I, Baer HU, Vock P. Blunt hepatic trauma in adults: correlation of CT injury grading with outcome. Radiology 1996; 201 (1): 215–220.

    PubMed  CAS  Google Scholar 

  75. Allins A, Ho T, Nguyen TH, et al. Limited value of routine follow-up CT scans in nonoperative management of blunt liver and splenic injuries. Am Surg 1996; 62 (11): 883–886.

    PubMed  CAS  Google Scholar 

  76. Ciraulo DL, Nikkanen HE, Palter M, et al. Clinical analysis of the utility of repeat computed tomographic scan before discharge in blunt hepatic injury. J Trauma 1996; 41 (5): 821–824.

    PubMed  CAS  Google Scholar 

  77. Shackford SR, Molin M. Management of splenic injuries. Surg Clin North Am 1990; 70: 595.

    PubMed  CAS  Google Scholar 

  78. Hebbler RF, Ward RE, Miller PW, et al. The management of splenic injury. J Trauma 1982; 22: 492.

    Google Scholar 

  79. Luna GK, Dellinger EP. Non-operative observation therapy for splenic injuries: a safe nontherapeutic option? Am J Surg 1987; 153: 462.

    PubMed  CAS  Google Scholar 

  80. Sharpiro ED, Berg AT, Austrian R, et al. The protective efficacy of polyvalent pneumococcal vaccine. N Engl J Med 1991; 325: 1453.

    Google Scholar 

  81. Malangoni MA, Levine AW, Droege EA, et al. Management of injury to the spleen in adults. Results of early operation and observation. Ann Surg 1984;200(6):702–705

    PubMed  CAS  Google Scholar 

  82. Bitseff EL, Adkins RB Jr. Splenic trauma: a trial at selective management. South Med J 1984; 77 (10): 1286–1290.

    PubMed  CAS  Google Scholar 

  83. Mahon PA, Sutton JE Jr. Nonoperative management of adult splenic injury due to blunt trauma: a warning. Am J Surg 1985; 149 (6): 716–721.

    PubMed  CAS  Google Scholar 

  84. Tom WW, Howells GA, Bree RL, et al. A nonoperative approach to the adult ruptured spleen sustained from blunt trauma. Am Surg 1985; 51 (7): 367–371.

    PubMed  CAS  Google Scholar 

  85. Coghill TH, Moore EE, Jurkovich GJ, et al. Nonoperativc management of blunt splenic trauma: a multicenter experience. J Trauma 1989; 29 (10): 1312–1317.

    Google Scholar 

  86. Elmore JR, Clark DE, Isler RJ, Homer WR. Selective nonopera tive management of blunt splenic trauma in adults. Arch Surg 1989; 124 (5): 581–585.

    PubMed  CAS  Google Scholar 

  87. Longo WE, Baker CC, McMillen MA, et al. Nonoperative management of adult blunt splenic trauma. Criteria for successful outcome. Ann Surg 1989; 210 (5): 626–629.

    PubMed  CAS  Google Scholar 

  88. Pachter HL, Spencer FC, Hofstetter SR, et al. Experience with selective operative and nonoperative treatment of splenic injuries in 193 patients. Ann Surg 1990; 210 (5): 583–589.

    Google Scholar 

  89. Koury HI, Peschiera JL, Welling RE. Non-operative management of blunt splenic trauma: a 10-year experience. Injury 1991; 22 (5): 349–352.

    PubMed  CAS  Google Scholar 

  90. Cocanour CS, Moore FA, Ware DN, et al. Delayed complications of nonoperative management of blunt adult splenic trauma. Arch Surg 1998; 133 (6): 619–624.

    PubMed  CAS  Google Scholar 

  91. Wasvary H, Howells G, Villalba M, et al. Nonoperative management of adult blunt splenic trauma: a 15-year experience. Am Surg 1997; 63 (8): 694–699.

    PubMed  CAS  Google Scholar 

  92. Godley CD, Warren RL, Sheridan RL, McCabe CJ. Nonoperative management of blunt splenic injury in adults: age over 55 years as a powerful indicator for failure. J Am Coll Surg 1996; 183 (2): 133–139.

    PubMed  CAS  Google Scholar 

  93. Schurr MJ, Fabian TC, Gavant M, et al. Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of nonoperative management. J Trauma 1995; 39: 507–512.

    PubMed  CAS  Google Scholar 

  94. Davis KA, Fabian TC, Croce MA, et al. Improved success in non-operative management of blunt splenic injuries: embolization of splenic artery pseudoaneurysms [see comments]. J Trauma 1998; 44 (6): 1008–1013.

    PubMed  CAS  Google Scholar 

  95. Bradley EL III, Young PR Jr, Chang MC, et al. Diagnosis and initial management of blunt pancreatic trauma: guidelines from a multiinstitutional review. Ann Surg 1998; 227 (6): 861–869.

    PubMed  Google Scholar 

  96. Young PR Jr, Meredith JW, Baker CC, et al. Pancreatic injuries resulting from penetrating trauma: a multi-institution review. Am Surg 1998; 64 (9): 838–843.

    PubMed  Google Scholar 

  97. Akhrass R, Yaffe MB, Brandt CP, et al. Pancreatic trauma: a ten-year multi-institutional experience. Am Surg 1997; 63 (7): 598–604.

    PubMed  CAS  Google Scholar 

  98. Madiba TE, Mokocna TR. Favourable prognosis after surgical drainage of gunshot, stab or blunt trauma of the pancreas [see comments]. Br J Surg 1995; 82 (9): 1236–1239.

    PubMed  CAS  Google Scholar 

  99. Cogbill TH, Moore EE, Morris JA Jr, et al. Distal pancreatectomy for trauma: a multicenter experience. J Trauma 1991; 31 (12): 1600–1606.

    PubMed  CAS  Google Scholar 

  100. Ivatury RR, Nallathambi M, Rao P, Stahl WM. Penetrating pancreatic injuries. Analysis of 103 consecutive cases. Am Surg 1990; 56 (2): 90–95.

    PubMed  CAS  Google Scholar 

  101. Stone HH, Fabian TC, Satiani B, Turkleson ML. Experiences in the management of pancreatic trauma. J Trauma 1981; 21 (4): 257–262.

    PubMed  CAS  Google Scholar 

  102. Cogbill TH, Moore EE, Feliciano DV, et al. Conservative management of duodenal trauma: a multicenter perspective. J Trauma 1990; 30 (12): 1469–1475.

    PubMed  CAS  Google Scholar 

  103. Feliciano DV, Martin TD, Cruse PA, et al. Management of combined pancreatoduodenal injuries. Ann Surg 1987;205(6):673–680.

    PubMed  CAS  Google Scholar 

  104. Ivatury RR, Nallathambi M, Gaudino J, et al. Penetrating duodenal injuries. Analysis of 100 consecutive cases. Ann Surg 1985; 202 (2): 153–158.

    PubMed  CAS  Google Scholar 

  105. Oreskovich MR, Carrico CJ. Pancreaticoduodenectomy for trauma: a viable option? Am J Surg 1984; 147 (5): 618–623.

    PubMed  CAS  Google Scholar 

  106. Martin TD, Feliciano DV, Mattox KL, Jordan GL Jr. Severe duodenal injuries. Treatment with pyloric exclusion and gastrojejunostomy. Arch Surg 1983; 118 (5): 631–635.

    PubMed  CAS  Google Scholar 

  107. Stone HH, Fabian TC. Management of duodenal wounds. J Trauma 1979; 19 (5): 334–339.

    PubMed  CAS  Google Scholar 

  108. Wisner DH, Wold RL, Frey CF. Diagnosis and treatment of pancreatic injuries. An analysis of management principles. Arch Surg 1990; 125 (9): 1109–1113.

    PubMed  CAS  Google Scholar 

  109. Gentilello LM, Cortes V, Buechter KJ, Gomez GA, et al. Whipple procedure for trauma: is duct ligation a safe alternative to pancreaticojejunostomy? J Trauma 1991; 31 (5): 661–667.

    PubMed  CAS  Google Scholar 

  110. Vaughan GD III, Frazier OH, Graham DY, et al. The use of pyloric exclusion in the management of severe duodenal injuries. Am J Surg 1977; 134 (6): 785–790.

    PubMed  Google Scholar 

  111. Durham RM, Olson S, Weigelt JA. Penetrating injuries to the stomach. Surg Gynccol Obstet 1991; 172 (4): 298–302.

    CAS  Google Scholar 

  112. Wisner DH, Chun Y, Blaisdell FW. Blunt intestinal injury. Keys to diagnosis and management. Arch Surg 1990;125(10):1319–1322; discussion 1322–1333.

    PubMed  CAS  Google Scholar 

  113. Munns J, Richardson M, Hewett P. A review of intestinal injury from blunt abdominal trauma. Aust N Z J Surg 1995;65(12):857–860.

    PubMed  CAS  Google Scholar 

  114. Otomo Y, Henmi H, Mashiko K, et al. New diagnostic peritoneal lavage criteria for diagnosis of intestinal injury. J Trauma 1998; 44 (6): 991–997.

    PubMed  CAS  Google Scholar 

  115. Udekwu PO, Gurkin B, Oiler DW. The use of computed tomography in blunt abdominal injuries. Am Surg 1996;62(1):56–59.

    PubMed  CAS  Google Scholar 

  116. Hagiwara A, Yukioka T, Satou M, et al. Early diagnosis of small intestine rupture from blunt abdominal trauma using computed tomography: significance of the streaky density within the mesentery. J Trauma 1995; 38 (4): 630–633.

    PubMed  CAS  Google Scholar 

  117. Sherck J, Shatney C, Sensaki K, Selivanov V. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg 1994; 168 (6): 670–675.

    PubMed  CAS  Google Scholar 

  118. Brasel KJ, Olson CJ, Stafford RE, Johnson TJ. Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma. J Trauma 1998; 44 (5): 889–892.

    PubMed  CAS  Google Scholar 

  119. Gonzalez RP, Merlotti GJ, Holevar MR. Colostomy in penetrating colon injury: is it necessary? J Trauma 1996; 41 (2): 271–275.

    PubMed  CAS  Google Scholar 

  120. Sasaki LS, Allaben RD, Golwala R, Mittal VK. Primary repair of colon injuries: a prospective randomized study [see comments]. J Trauma 1995; 39 (5): 895–901.

    PubMed  CAS  Google Scholar 

  121. Ivatury RR, Gaudino J, Nallathambi MN, Simon RJ, Kazigo ZJ, Stahl W. Definitive treatment of colon injuries: a prospective study. Am Surg 1993; 59 (1): 43–49.

    PubMed  CAS  Google Scholar 

  122. Schultz SC, Magnant CM, Richman MF, et al. Identifying the low-risk patient with penetrating colonic injury for selective use of primary repair. Surg Gynecol Obstet 1993; 177 (3): 237–242.

    PubMed  CAS  Google Scholar 

  123. Chappuis CW, Frey DJ, Dietzen CD, Panetta TP, Buechter KJ, Cohn I. Management of penetrating colon injuries. A prospective randomized trial. Ann Surg 1991; 213 (5): 492–497.

    PubMed  CAS  Google Scholar 

  124. Shannon FL, Moore EE. Primary repair of the colon: when is it a safe alternative? Surgery (St. Louis) 1985; 98 (4): 851–860.

    CAS  Google Scholar 

  125. Ivatury RR, Licata J, Gunduz Y, et al. Management options in penetrating rectal injuries. Am Surg 1991; 57 (1): 50–55.

    PubMed  CAS  Google Scholar 

  126. Levy RD, Strauss P, Aladgem D, et al. Extraperitoneal rectal gunshot injuries. J Trauma 1995; 38 (2): 273–277.

    PubMed  CAS  Google Scholar 

  127. Steinig JP, Boyd CR. Presacral drainage in penetrating extraperitoneal rectal injuries: is it necessary? Am Surg 1996; 62 (9): 765–767.

    PubMed  CAS  Google Scholar 

  128. Tuggle D, Huber PJ Jr. Management of rectal trauma. Am J Surg 1984; 148 (6): 806–808.

    PubMed  CAS  Google Scholar 

  129. VanLoenhout RM, Schiphorst TM, Wittens CA, et al. Traumatic intrapericardial diaphragmatic hernia. J Trauma 1986; 26: 271.

    CAS  Google Scholar 

  130. Murray JG, Caoili E, Gruden JF, Evans SJ, Halvorsen RA, Mackersie RC. Acute rupture of the diaphragm due to blunt trauma: diagnostic sensitivity and specificity of CT. Am J Roentgenol 1996; 166 (5): 1035–1039.

    CAS  Google Scholar 

  131. Flancbaum L, Dauber M, Demas C, et al. Early diagnosis and treatment of blunt diaphragmatic injury. Am Surg 1988; 54: 195.

    PubMed  CAS  Google Scholar 

  132. Morgan AS, Flancbaum L, Esposito T, Cox EF. Blunt injury to the diaphragm: an analysis of 44 patients. J Trauma 1986; 26 (6): 565–568.

    PubMed  CAS  Google Scholar 

  133. Murray JA, Demetriades D, Asensio JA, et al. Occult injuries to the diaphragm: prospective evaluation of laparoscopy in penetrating injuries to the left lower chest. J Am Coll Surg 1998; 187 (6): 626–630.

    PubMed  CAS  Google Scholar 

  134. Selivanov V, Chi HS, Alverdy JC, et al. Mortality in retroperitoncal hematoma. J Trauma 1984; 24 (12): 1022–1027.

    PubMed  CAS  Google Scholar 

  135. Mucha P Jr, Welch TJ. Hemorrhage in major pelvic fractures. Surg Clin North Am 1988; 68 (4): 757–773.

    PubMed  Google Scholar 

  136. Panetta T, Sclafani SJ, Goldstein AS, et al. Percutaneous trans-catheter embolization for massive bleeding from pelvic fractures. J Trauma 1985; 25 (11): 1021–1029.

    PubMed  CAS  Google Scholar 

  137. Agolini SF, Shah K, Jaffe J, et al. Arterial embolization is a rapid and effective technique for controlling pelvic fracture hemorrhage. J Trauma 1997; 43 (3): 395–399.

    PubMed  CAS  Google Scholar 

  138. Heini PF, Witt J, Ganz R. The pelvic C-clamp for the emergency treatment of unstable pelvic ring injuries. A report on clinical experience of 30 cases. Injury 1996;27(suppl 1):S-A38–S-A45.

    Google Scholar 

  139. Bassam D, Cephas GA, Ferguson KA, et al. A protocol for the initial management of unstable pelvic fractures. Am Surg 1998; 64 (9): 862–867.

    PubMed  CAS  Google Scholar 

  140. McAninch JW, Carroll PR. Renal trauma: kidney preservation through improved vascular control -a refined approach. J Trauma 1982; 22 (4): 285–290.

    PubMed  CAS  Google Scholar 

  141. Carroll PR, McAninch JW, Wong A, et al. Outcome after temporary vascular occlusion for the management of renal trauma. J Urol 1994; 151 (5): 1171–1173.

    PubMed  CAS  Google Scholar 

  142. Burch JM, Moore EE, Moore FA, Franciose R. The abdominal compartment syndrome. Surg Clin North Am 1996;76(4):833–842.

    PubMed  CAS  Google Scholar 

  143. Saggi BH, Sugerman HJ, Ivatury RR, Bloomfield GL. Abdominal compartment syndrome. j Trauma 1998; 45 (3): 597–609.

    PubMed  CAS  Google Scholar 

  144. Bloomfield GL, Ridings PC, Blocher CR, et al. A proposed relationship between increased intra-abdominal, intrathoracic, and intracranial pressure. Crit Care Med 1997; 25 (3): 496–503.

    PubMed  CAS  Google Scholar 

  145. Rosenthal RJ, Friedman RL, Kahn AM, et al. Reasons for intracranial hypertension and hemodynamic instability during acute elevations of intra-abdominal pressure: observations in a large animal model. J Gastrointest Surg 1998; 2 (5): 415–425.

    PubMed  CAS  Google Scholar 

  146. Diebel LN, Dulchaysky SA, Wilson RF. Effect of increased intra-abdominal pressure on mesenteric arterial and intestinal mucosal blood flow. J Trauma 1992; 33 (1): 45–48.

    PubMed  CAS  Google Scholar 

  147. Diebel L, Saxe L, Dulchaysky S. Effect of intra-abdominal pressure on abdominal wall blood flow. Am Surg 1992; 58 (9): 573–575.

    PubMed  CAS  Google Scholar 

  148. Ridings PC, Bloomfield GL, Blocher CR, Sugerman HJ. Cardiopulmonary effects of raised intra-abdominal pressure before and after intravascular volume expansion. J Trauma 1995; 39 (6): 1071–1075.

    PubMed  CAS  Google Scholar 

  149. Iberti TJ, Lieber CE, Benjamin E. Determination of intra-abdominal pressure using a transurethral bladder catheter: clinical validation of the technique. Anesthesiology 1989; 70 (1): 47–50.

    PubMed  CAS  Google Scholar 

  150. Mayberry JC, Mullins RJ, Crass RA, Trunkey DD. Prevention of abdominal compartment syndrome by absorbable mesh prosthesis closure [see comments]. Arch Surg 1997; 132 (9): 957–961.

    PubMed  CAS  Google Scholar 

  151. Fernandez L, Norwood S, Roettger R, Wilkins HE III. Temporary intravenous bag silo closure in severe abdominal trauma. J Trauma 1996; 40 (2): 258–260.

    PubMed  CAS  Google Scholar 

  152. Bender JS, Bailey CE, Saxe JM, et al. The technique of visceral packing: recommended management of difficult fasciai closure in trauma patients. J Trauma 1994; 36 (2): 182–185.

    PubMed  CAS  Google Scholar 

  153. Porter JM. A combination of Vicryl and Marlex mesh: a technique for abdominal wall closure in difficult cases. J Trauma 1995; 39 (6): 1178–1180.

    PubMed  CAS  Google Scholar 

  154. Ivatury RR, Porter JM, Simon RJ, et al. Intra-abdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence, and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma 1998; 44 (6): 1016–1021.

    PubMed  CAS  Google Scholar 

  155. Meldrum DR, Moore FA, Moore EE, et al. Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg 1997; 174 (6): 667–672.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer Science+Business Media New York

About this chapter

Cite this chapter

Mackersie, R.C. (2001). Abdominal Trauma. In: Norton, J.A., et al. Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-57282-1_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-57282-1_36

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63239-6

  • Online ISBN: 978-3-642-57282-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics