Blunt Trauma to the Small Intestine

Cerise, Elmo J.; Scully, James H.

doi:10.1097/00005373-197001000-00005

Cited by 28 publications

(18 citation statements)

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“…The small and large bowel are commonly affected in penetrating trauma and are affected less in blunt injury abdomen. 11,12 The presence of fluid without solid organ injury is a significant marker of mesenteric or bowel injury. 13 From the above Table 6, it was found in our study, that splenectomy (53.4%) was most commonly done in patients who sustained blunt injury abdomen.…”

Section: Resultsmentioning

confidence: 99%

A study of blunt injury abdomen in patients attending the emergency department in a tertiary hospital

Yogish

Venkateswaran

2016

Int Surg J

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Section: Resultsmentioning

confidence: 99%

A study of blunt injury abdomen in patients attending the emergency department in a tertiary hospital

Yogish

Venkateswaran

2016

Int Surg J

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“…The small and large bowel are commonly affected in penetrating trauma [8, 9]. However, they are less frequently affected than solid organs like the spleen and the liver in blunt trauma [9].…”

Section: Discussionmentioning

confidence: 99%

A Review of Posttraumatic Bowel Injuries in Ibadan

et al. 2011

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Background. Bowel injuries are a leading cause of morbidity and mortality following trauma. Evaluating patients who sustained abdominal trauma with bowel injury may pose a significant diagnostic challenge to the surgeon. Prompt recognition and timely intervention is necessary to improve outcome. Aim. This study was undertaken to evaluate treatment and outcome of patients with bowel trauma. Methods. A 5-year retrospective study of all patients presenting with abdominal trauma requiring surgical intervention seen in the UCH Ibadan, Nigeria was undertaken. Results. There were 71 patients (59 males and 12 females). The majority of cases (70%) occurred between the 3rd and 5th decades of life. Some 37 patients (52%) sustained blunt abdominal injury, while 34 patients (48%) sustained penetrating abdominal injury. There were 27 patients with bowel injuries (38%). Isolated bowel injuries occurred in 19 patients (27%). The most common surgical operation performed was simple closure. There were 3 deaths in patients with bowel injuries. Conclusion. Most cases of bowel injury can be managed by simple closure, a technique that is not so technically demanding for surgeons in less-developed countries. This study has also incidentally identified a “rule of six” for patients with bowel injuries and abdominal trauma.

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“…Second, the presence of tenderness should make the clinician alert to the possibility of a GITI. Most patients with GITI do have moderate‐to‐severe abdominal tenderness 2 –5 , 29 , 33 , 46 , 51 –53 …”

Section: Clinical Assessmentmentioning

confidence: 99%

“…The absence or diminution of bowel sounds is an inconsistent clinical finding, and little emphasis should be placed on either a positive or negative finding 3 , 29 , 33 , 34 , 51 . Bowel sounds have been reported to be reduced or absent in 50–77% of patients with GITI 3 , 29 , 33 , 51 . There are no data on the specificity of absent bowel sounds for the detection of GITI.…”

Section: Clinical Assessmentmentioning

confidence: 99%

The Diagnosis of Gastrointestinal Tract Injuries Resulting From Blunt Trauma

Hughes

1999

Aust. N.Z. J. Surg.

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The most accurate and safest methods of assessment of the abdomen in haemodynamically unstable patients with suspected abdominal injuries following blunt trauma are immediate laparotomy or diagnostic peritoneal lavage (DPL). The goal of assessment of the abdomen in stable patients is to accurately define the site and extent of intra-abdominal injury, in order that further management may be tailored to the specific injuries. The most recent evidence suggests that CT of the abdomen fulfils these criteria better than the other modalities of assessment available. The risk of overlooking a significant GITI on CT scan is minimal provided that unexplained free fluid, bowel wall thickening or enhancement, mesenteric fat streaking and bowel dilatation are taken as evidence of GITI. When scan quality is suboptimal or expert interpretation is unavailable, DPL is recommended. Fully cooperative patients with negligible abdominal signs can be safely observed clinically.

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Blunt Trauma to the Small Intestine

Cited by 28 publications

References 0 publications

A study of blunt injury abdomen in patients attending the emergency department in a tertiary hospital

A study of blunt injury abdomen in patients attending the emergency department in a tertiary hospital

A Review of Posttraumatic Bowel Injuries in Ibadan

The Diagnosis of Gastrointestinal Tract Injuries Resulting From Blunt Trauma

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