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It is a useful tool to pick high-grade solid and hollow viscous injury. CT is reserved for complicated cases with obscure clinical manifestations which do not fit the plain radiological findings actualizad also cases running an unexpected course.
Full Text Available Objective: The exact role of imaging in the management of BAT in children is still under research. Therapeutic study, level IV.
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Postoperatively, the patient was febrile, tachycardic and hypotensive. Five routine intraperitoneal spaces as well as the interloop space were examined by ultrasound in order to find free fluid. Focused abdominal sonography for trauma FAST in blunt paediatric abdominal trauma.
This is a case of a year-old man, admitted to the emergency department after being the restrained driver, involved in a car accident. We report two patients with abdominal bleeding who were correctly diagnosed by this method. Blunt abdominal trauma in children. Base deficit, Blunt abdominal trauma. Associated injuries influenced morbidity and mortality.
To report on a patient who developed hemobilia 1 month after a blunt abdominal injury and actualziada discuss the diagnosis and treatment of hemobilia. AE is an adjunct treatment for liver injuries.
abdominal blunt trauma: Topics by
If the colonic perforation is present as a solitary injury, signs of peritoneal iritation are easier to recognize and they lead to further evaluation and operation. Group 1 with intra- abdominal injuries or Group 2 without intra- abdominal injuries.
The pattern, presentation, management and outcome of gastrointestinal injuries from blunt trauma. For patients with blunt abdominal trauma and hemoperitoneum who plan to receive nonoperative management, DPL is still a useful tool to exclude hollow organ perforation that is undetected by CT. The most common finding at the site of bowel perforation was segmental bowel wall thickening 17 casesfollowed by focal mesenteric fat infiltration 12 casesloculated fluid 12 cases and extraluminal air ajacent to the bowel 9 cases.
We present the radiological and operative findings as well as the results of subsequent radiological workup in patients who had no surgery. The presence of intraperitoneal fluid with a CT density less than that of pure blood strongly suggests extravasated urine in the trauma.
We performed a retrospective study of consecutive CT scans over a period of 12 months to determine the incidence of isolated FF and the clinical outcome of patients managed in a large metropolitan trauma service. Percutaneous and endoscopic techniques have been used both for diagnosis and treatment.
An exploratory laparotomy was performed, hemoperitomeum was evacuated, and a subserosal hematoma of the cecum and ascending colon with areas of totally disrupted serosal wall was found. Urinalysis was considered positive in case of at least one positive value in gross appearance, blood in dipstick, or red blood cell count. Organ injuries were graded using the Organ Injury Scale guidelines. In two of these patients the portal vein had to be reconstructed with a Goretex prosthetic graft.
A computed tomography scan CT that followed showed a hematoma of the mesocolon of the ascending colon with active extravasation of intravenous contrast material. To assess the role of imaging, in particular CT, in the early detection of GI perforation. The author’s study indicated that serial splenic enlargement was a physiologic return to normal after major traumanot a pathologic condition requiring splenectomy.
Therefore, this study was designed, to evaluate the accuracy of urinalysis in predicting intra- abdominal injuries. CT was thus found to be a useful adjunct in the management of victims of blunt abdominal traumasince in a rapid and noninvasive fashion, CT accurately defined the extent of parenchymal organ injury and also disclosed any other abdominal injuries. Blunt abdominal trauma can cause multiple internal injuries. In this paper, we discuss a case of isolated avulsion of the hepatic duct confluence following blunt trauma that was successfully managed with Roux-en-Y hepaticojejunostomy.
After initial procedures, complementary exams showed ribs and humerus fractures.
NST failure was defined as the need for laparotomy for actuakizada reason. Case presentation A year-old woman with sigmoid colon injury was admitted to our emergency department after sustaining blunt abdominal trauma.
In cases of blunt abdominal traumaspredicting the possible intra- abdominal injuries is still a challenge for the physicians involved with these patients.
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Nevertheless, this method also has its actuailzada, as in cases of abdominal injuries without free fluid. The results of the study suggest actualiaada necessity of the search for other mechanisms of degradation of the hepatic tissue following a blunt abdominal trauma for acthalizada improvement of forensic medical diagnostics of its cause and the underlying mechanism. Most of the liver injuries fell under grade I Overall, five children proved to have a pancreas transection on CT scans or during laparotomy.
Acute appendicitis after blunt abdominal trauma. Thus, close follow up observation of abdominal physical signs was also of critical importance.
The aim of this study was to assess diagnostic accuracy of a step-up imaging strategy, where the decision to observe or to perform an intervention depends on the vital parameters of the patient, in combination with the presence or absence of free fluid at Focused Assessment with Sonography for Trauma FAST and the findings on CT performed selectivelyfor pediatric patients presenting to the ED with a blunt abdominal trauma.
The clinical significance of isolated free fluid FF without solid organ injury on computed to- mography CT continues to pose significant dilemma in the management of patients with blunt abdominal trauma BAT. Initial resuscitation measures, thorough clinical examination and correct diagnosis forms the most vital part of management.