Radiographic predictors of therapeutic operative intervention after blunt abdominal trauma: the RAPTOR score

Filiberto, Dina M.; Afzal, Muhammad O; Sharpe, John P.; Seger, Catherine P; Shankar, Sridhar; Croce, Martin A.; Fabian, Timothy C.; Magnotti, Louis J.

doi:10.1007/s00068-020-01371-8

Cited by 6 publications

(6 citation statements)

References 15 publications

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“…A number of scoring tools have been described (based on CT findings or a combination of imaging and clinical findings) with sensitivity and specificity, and positive and negative predictive values that are reasonably high. [16][17][18][19][20] However, few have been externally validated. McNutt et al 16 described the Bowel Injury Prediction Score based on admission CT findings, white blood cell count, and abdominal tenderness (present or absent).…”

Section: Areas Of Controversy and Existing Knowledge/research Gapsmentioning

confidence: 99%

“…Surgical decision-making tools. A number of scoring tools have been described (based on CT findings or a combination of imaging and clinical findings) with sensitivity and specificity, and positive and negative predictive values that are reasonably high 16–20 . However, few have been externally validated.…”

Section: Areas Of Controversy and Existing Knowledge/research Gapsmentioning

confidence: 99%

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Evaluation and management of bowel and mesenteric injuries after blunt trauma: A Western Trauma Association critical decisions algorithm

Weinberg¹,

Peck²,

Ley³

et al. 2021

J Trauma Acute Care Surg

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Section: Areas Of Controversy and Existing Knowledge/research Gapsmentioning

confidence: 99%

Section: Areas Of Controversy and Existing Knowledge/research Gapsmentioning

confidence: 99%

Evaluation and management of bowel and mesenteric injuries after blunt trauma: A Western Trauma Association critical decisions algorithm

Weinberg¹,

Peck²,

Ley³

et al. 2021

J Trauma Acute Care Surg

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“…La mortalidad se eleva cuando no son oportunos el diagnóstico y el tratamiento 2,5,9 , ya que si estos se establecen en menos de 8 horas puede ser del 2 %, pero si pasan más de 24 horas puede aumentar hasta el 30.8% 5 . Idealmente, la institución donde sea atendido el paciente debe tener disponibilidad de cirujano, anestesiólogo, intensivista y radiólogo intervencionista 1 .…”

Section: Discussionunclassified

“…La lesión mesentérica es una complicación poco frecuente, que se presenta en menos del 5% de los pacientes con lesiones abdominales directas 1,2,5,6 ; sin embargo, ha ido en aumento en los últimos tiempos por los accidentes de automóviles en relación con el cinturón de seguridad 1,2 .…”

Section: Introductionunclassified

Traumatismo abdominal contuso manejado con embolización mesentérica: reporte de caso

Hernández¹,

Martín-González²,

Luna-Álvarez³

et al. 2021

CIRU

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El trauma abdominal cerrado se presenta en el 20% de los pacientes politraumatizados, de los cuales aproximadamente el 5% pueden llegar a tener lesiones mesentéricas. Presentamos el caso de una mujer que sufre un traumatismo abdominal cerrado a la cual se le realizó tomografía computarizada con evidencia de un hematoma en el flanco derecho, que se logra controlar por angioembolización de la arteria mesentérica superior. El tratamiento de las lesiones mesentéricas se determinará según el estado hemodinámico del paciente, pues ante la estabilidad se puede escoger entre cirugía abierta y embolización, pero en caso de inestabilidad se recomienda la laparotomía.

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“…Mesenteric injury is a rare complication, occurring in less than 5% of patients with direct abdominal injuries 1,2,5,6 ; however, it has been on the rise in recent times due to seat belt-related car accidents 1,2 .…”

Section: Introductionmentioning

confidence: 99%

Blunt abdominal trauma managed with mesenteric embolization: case report

Sánchez-Hernández,

Martín-González,

Luna-Álvarez

et al. 2023

CIRUE

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Blunt abdominal trauma occurs in 20% of polytraumatized patients, of which approximately 5% may have mesenteric lesions. We present a case of a woman suffering from a blunt abdominal trauma, who underwent computed tomography with evidence of hematoma on the right flank, which was controlled by angioembolization of the superior mesenteric artery. Treatment of mesenteric lesions will be determined according to the hemodynamic status of the patient, since in view of stability, a choice can be made between open surgery and embolization, but in case of instability, laparotomy is recommended.

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Radiographic predictors of therapeutic operative intervention after blunt abdominal trauma: the RAPTOR score

Cited by 6 publications

References 15 publications

Evaluation and management of bowel and mesenteric injuries after blunt trauma: A Western Trauma Association critical decisions algorithm

Evaluation and management of bowel and mesenteric injuries after blunt trauma: A Western Trauma Association critical decisions algorithm

Traumatismo abdominal contuso manejado con embolización mesentérica: reporte de caso

Blunt abdominal trauma managed with mesenteric embolization: case report

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