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51 - Solid Organ Abdominal Trauma

from Section 11 - Trauma

Published online by Cambridge University Press:  02 November 2023

Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

  • Injuries are generally classified based on mechanism as either blunt or penetrating. Each has a different method of evaluation and treatment.

  • In blunt injuries, solid organs are commonly injured with acceleration/deceleration injuries (i.e., motor vehicle collisions [MVC], falls from height) and crush injuries. Blunt injuries are associated with greater mortality than penetrating ones. The spleen is the most commonly injured solid organ, followed by the liver.

  • A stab wound, one such penetrating injury, is less likely to cause intra-abdominal injury and penetrate the peritoneum requiring surgical intervention when compared with projectile wounds.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2023

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References

American Association for the Surgery of Trauma. Trauma Source: Injury scoring scale. Chicago, IL: American Association for the Surgery of Trauma, 2013. Available from: www.aast.org/resources-detail/injury-scoring-scale Cannon, JW, Khan, MA, Raja, AS, et al. Damage control resuscitation in patients with severe traumatic hemorrhage. J Trauma 2017;82(3):605617.Google Scholar
Owattanapanich, N, Chittawatanarat, K, Benyakorn, T, et al. Risks and benefits of hypotensive resuscitation in patients with traumatic hemorrhagic shock: a meta-analysis. Scand J Trauma Resusc Emerg Med 2018;26(1):107. (Meta-analysis; 30 studies)Google Scholar
Stassen, NA, Indermeet, B, Cheng, JD, et al. Selective non operative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline. Trauma Acute Care Surg 2012;73:S294–300.Google ScholarPubMed

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