Splenic injury during pregnancy after blunt abdominal trauma is rare. The physiological and anatomical changes during pregnancy modify the clinical, biological and radiological signs. The authors report a case of a year-old-woman in the 32nd week of pregnancy, with an isolate splenic injury after a motor vehicle accident. Splenectomy was realised 4 days after an initial decision of abstaining from surgery.
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We'd like to understand how you use our websites in order to improve them. Register your interest. To report our experience of treatment for bowel injuries following blunt abdominal trauma in a rural area. This retrospective study involved nine cases of bowel injury after blunt abdominal trauma, operated in the emergency department at the Regional Hospital of Thies from January to July We analyzed the circumstances of trauma, clinical aspects, investigations, the treatment and the postoperative course.
There were 8 men and 1 woman with a mean age of 27 years 14 years—65 years. The traffic accidents were the cause in 5 cases followed by sports accidents 2 cases and a fall from a height 2 cases. Signs of peritonitis and hemoperitoneum were found respectively in 5 and 2 cases. The clinical picture consisted of a localized defense in 2 cases. Plain abdominal X-ray showed a pneumoperitoneum in 4 cases.
Ultrasound found a single intraperitoneal effusion in 2 cases and was normal in 1 case. CT-scan had diagnosed a jejunal rupture in a patient and had found a pneumoperitoneum that was missed at the plain abdominal X-ray in another patient.
Four patients had undergone laparotomy less than 24 hours after injury and five after 48 hours. Perforation was found in the small intestine in 8 cases, in the sigmoid in 1 case. Treatment consisted in intestinal suture 5 cases and resection-anastomosis 2 cases. Ileostomy was performed in a patient with septic shock. Sigmoid perforation was treated by sigmoidectomy followed by colostomy. Two deaths were noted due to severe sepsis. Intestinal lesions secondary to blunt abdominal trauma are difficult to diagnose.
They require an early surgical treatment because it determines the prognosis. This is a preview of subscription content, log in to check access. J Radiol — Menegaux F, Tresallet C, Gosgnach M, et al Diagnosis of bowel and mesenteric injuries in blunt abdominal trauma: a prospective study. Am J Emerg Med — Eur J Surg — Med Trop — Ann Fr Med Urgence — Ann Chir — Radiology — Implications of computed tomography diagnosis. Invest Radiol — AJR — J Trauma — Elliott DC, Rodriguez A, Moncure M, et al The accuracy of diagnostic laparoscopy in trauma patients: a prospective, controlled study.
Int Surg — Google Scholar. Download references. Correspondence to P. J Afr Hepato Gastroenterol 7, 14—17 Download citation. Published : 20 July Issue Date : March Search SpringerLink Search. Abstract Purpose To report our experience of treatment for bowel injuries following blunt abdominal trauma in a rural area. Patients and methods This retrospective study involved nine cases of bowel injury after blunt abdominal trauma, operated in the emergency department at the Regional Hospital of Thies from January to July Results There were 8 men and 1 woman with a mean age of 27 years 14 years—65 years.
Conclusion Intestinal lesions secondary to blunt abdominal trauma are difficult to diagnose. Fall Authors P. You can also search for this author in PubMed Google Scholar. View author publications.
A to Z: Contusion (Bruise), Abdomen
Abdominal trauma is an injury to the abdomen. Signs and symptoms include abdominal pain , tenderness , rigidity, and bruising of the external abdomen. Complications may include blood loss and infection. Diagnosis may involve ultrasonography , computed tomography , and peritoneal lavage , and treatment may involve surgery. Signs and symptoms are not seen in early days and after some days initial pain is seen. People injured in motor vehicle collisions may present with a " seat belt sign", bruising on the abdomen along the site of the lap portion of the safety belt; this sign is associated with a high rate of injury to the abdominal organs.
The aimof this paper is to study the epidemiological, clinical and therapeutic aspects of abdominal contusions in the surgical department at Lome Teaching Hospital. It is a retrospective study which reveals 41 cases of abdominal contusions in the surgical department of Teaching Hospital of Tokoin, Lome between January 1st and December 31st, The number of blunt abdominal traumas is increasing since Traffic accidents present the most frequent etiology. All patients were operated.
A contusion, or bruise, forms when soft tissue in the body is crushed but the skin doesn't break. When this happens, blood from broken capillaries small blood vessels near the skin's surface may leak out under the skin. With no place to go, the blood gets trapped, often forming a red or purplish mark that hurts when you touch it. As a contusion heals, it may turn different colors, from red and purple to black and blue and then to green, yellow, and light brown before fading away. Applying a cold compress to a new contusion may help minimize swelling and bruising.
En et , il existait respectivement 84 et 91 victimes. Ann Fr Anesth Reaanim. J Chir. Abdominal wound injuries: diagnosis and treatment. Report of 79 cases.