Closed Abdominal Injury

Mathieson, Alister J. M.

doi:10.1136/bmj.2.5307.749

Cited by 9 publications

(4 citation statements)

References 2 publications

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“…9 It is striking that liver damage alone occurred in only two cases. This is somewhat different from previous experience in the United Kingdom' and may be a reflection of the severity of the injuries in our series, most of which were associated with high-speed accidents.…”

Section: Discussionmentioning

confidence: 98%

Injuries to the Liver: Analysis of 20 Cases

Blumgart¹,

Vajrabukka²

1972

BMJ

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Twenty cases of liver injury among 55 consecutive cases of abdominal injury submitted to laparotomy over a four-year period are reported. Forty-four of the cases were blunt injuries, and the cases of liver injury were in this group. Road traffic accidents accounted for 37 of the 44 cases and 17 of the 20 liver injuries. Except in two cases injury to the liver was associated with injury to other organs. Severe chest injury was found in 40% of the cases and serious skeletal injury in 45%. The overall mortality in blunt injury to the liver was 20% (4 cases) and was directly attributable to the liver injury in only one case.Liver injuries are classified as minor or major according to the depth of the wound and the associated destruction of liver tissue. Liver resection is advocated for major injuries. Right hepatic lobectomy was performed on five occasions and three of the patients survived. Death in the other two was due to associated injuries. The remarkable regenerative capacity of the liver is emphasized.

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Section: Discussionmentioning

confidence: 98%

Injuries to the Liver: Analysis of 20 Cases

Blumgart¹,

Vajrabukka²

1972

BMJ

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“…However, physical signs may be minimal or absent. I n cases where there is real doubt, repeated clinical examinations are probably of more value than ancillary investigations (Williams and Zollinger, 1959 ;Mathieson, 1962). Increase in pain or tenderness or development of tachycardia indicates the need for laparotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis.-In general, diagnosis was based on clinical features similar to those outlined by Mathieson (1962), supplemented at times by radiological findings. Only rarely was abdominal paracentesis used, and in I such patient a ruptured spleen was found following a negative four-quadrant tap.…”

Section: Lacerations One Case Had Cerebral Injurymentioning

confidence: 99%

Blunt abdominal injury: A review of 59 consecutive cases undergoing surgery

Bolton

Wood

Quartey‐Papafio

et al. 1973

Journal of British Surgery

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1. A consecutive series of 59 patients undergoing laparotomy as a result of blunt abdominal trauma is reported. 2. Road‐traffic accidents were the most common cause of blunt abdominal trauma and frequently produced a complex pattern of associated injuries. 3. There were 8 deaths, giving a mortality‐rate of 14 per cent. 4. The number of associated injuries was the most important single factor influencing the mortality‐rate. 5. Delay in diagnosis occurred in 14 patients, and this may contribute to the high mortality‐rate of blunt abdominal injury. 6. A high index of suspicion, thorough and repeated clinical assessment, and willingness to resort to laparotomy are the main principles in the diagnosis of blunt abdominal injury.

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“…Resuscitation, diagnosis and treatment should be under the direction of one physician, preferably a general surgeon. 1 area should include both x-ray equipment and an operating room, or patients should be transported on admission to the central operating room.!! Blood bank support should include stocks of type O Rh-negative blood to be given immediately, as well as facilities for rapid typing and crossmatching.…”

Section: Emergency Treatment Of Patients With Multiple Injuriesmentioning

confidence: 99%

Emergency Treatment of Patients With Multiple Injuries

1965

Postgraduate Medicine

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Closed Abdominal Injury

Cited by 9 publications

References 2 publications

Injuries to the Liver: Analysis of 20 Cases

Injuries to the Liver: Analysis of 20 Cases

Blunt abdominal injury: A review of 59 consecutive cases undergoing surgery

Emergency Treatment of Patients With Multiple Injuries

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