Gastric Rupture from Blunt Abdominal Trauma

Comparison of internal organ injuries by blunt abdominal trauma in rats with empty or full stomach

“…[21] Due to high blood supply to the spleen, that is, 4% of cardiac output, hemorrhage causing death may be observed in spleen injury. [21][22][23][24][25] In this study, intra-abdominal hemorrhage in more than half of the rats was observed to be parallel to previous studies. The results suggested that the spleen was the second most frequently injured organ.…”

Massive gastric bleeding from a blunt abdominal trauma: Report of a case

“…They can also become hemodynamically unstable as a result of blood loss from associated injuries. 4 Hematoemesis and a bloody nasogastric return also raise the suspicion of BGI after blunt abdominal trauma. However, the blood loss from the BGI itself is regarded as insuffi cient to induce persistent shock.…”

“…However, when the stomach is distended as in this case, blunt trauma to the upper abdomen can lead to a suffi cient intragastric pressure to cause its rupture according to the Law of LaPlace. [1][2][3][4][5] As a result of this mechanism, the anterior wall of the stomach is generally the most common site of rupture, followed by the greater curvature, lesser curvature, and posterior wall. 6 On the other hand, tearing by deceleration has been postulated as another possible mechanism of injury to the stomach, which is directly related to the use of a seat belt.…”

“…[1][2][3][4][5][6] Road traffi c accidents remain the most frequent cause and childhood bicycle handlebar injuries can also cause BGI. 7 The factors most often implicated are a history of a full stomach or a recent meal, trauma to the left side of the body, and the inappropriate use of a seat belt.…”

Traumatic prepyloric transection: unusual injury in a child

“…Although the cornerstone of the evaluation of a hemodynamically stable patient involved in blunt trauma has become CT (with either oral or intravenous contrast) [8,9], it has been suggested that this modality is not sufficiently sensitive to detect HVIs reliably. Interpretation of subtle CT findings suggestive of HVI appears to be observer dependent, and HVI may be missed in up to 50% of patients.…”