Home Diagnosis • Abdominal Trauma: Surgical and Radiologic Diagnosis - download pdf or read online

Abdominal Trauma: Surgical and Radiologic Diagnosis - download pdf or read online

By Harry M. Delany M.D., F.A.C.S., Robert S. Jason M.D. (auth.)

ISBN-10: 1461258502

ISBN-13: 9781461258506

ISBN-10: 1461258529

ISBN-13: 9781461258520

Trauma to the stomach, either unintentional and willful, has develop into more and more universal during this period of accelerating violence. huge numbers of sufferers all around the nation are admitted to emergency rooms due to belly trauma of various levels of severity. All too usually the proper analysis is suspected belatedly or on no account, in order that right therapy isn't really initiated in adequate time to be lifesaving. no longer infre­ quently, the injured sufferer is tested via an intern or an insufficiently skilled resident healthcare professional. Even in cases the place extra senior internists and surgeons can be found, exact wisdom in regards to the important technique to set up the right kind prognosis and institute the suitable therapy is missing. This monograph, representing the felicitous collaboration of a health care professional and a radiolo­ gist including a number of different individuals, is well timed and critical. The authors (and their individuals) have approached their topic with a wealth of scientific experi­ ence received in different very lively acute-care municipal hospitals within the biggest urban during this nation. they've got saw and taken care of a truly huge variety of sufferers with a large number of irritating reasons, together with firearm accidents, stab wounds, vehicular injuries, falls, and attacks. The authors have divided this paintings into 4 major sections: common views on belly harm, forms of belly accidents, particular Diagnostic innovations, and particular Organ or Supporting-Structure Injury.

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Additional info for Abdominal Trauma: Surgical and Radiologic Diagnosis

Sample text

Unfortunately, the abdominal physical examination may be misleading in a patient with a presumed thoracoabdominal wound because of the effects of an ipsilateral hemothorax. Moreover, a tube thoracostomy may produce upper abdominal tenderness. Ancillary diagnostic procedures such as paracentesis with lavage can be of help in such patients (see p. 90 on paracentesis and lavage). If bloody fluid is obtained or if the lavage fluid appears to exit from the chest tube, the presence of diaphragmatic penetration and possible intraabdominal injury should be assumed.

A case of giant splenic enlargement with secondary esophageal obstruction was reported by Garvey and Delany [34] (Fig. 1). The patient was found to have an acquired cyst of the spleen secondary to trauma 11 years prior to the development of significant symptoms. Intraabdominal traumatic injury can occur following vigorous coughing and changes in body position in patients especially vulnerable to splenic tear. This form of splenic rupture is usually associated with preexisting splenomegaly. Eighteen well-documented cases of splenic rupture associated with mononucleosis without trauma are described in the literature [100].

The presence of a contused band around the lower abdomen as a diagnostic physical finding was described by Snyder. Apparently, the best vehicular passenger safety is provided by the three-point-fixation lap belts and shoulder harness. 45). Contusion Seromuscular tear Perforation Mesenteric tear Subtotal Total Small intestine Large intestine 3 4 4 4 7 19 11 26 23 63 82 Source: Williams JS, Kirkpatrick JR (1971) The nature of seat belt injuries. 42. Lap belt: Lumbar-spine injuries Compression fracture Subluxation Fracture articular process Fracture lamina and pedicles Complete anterior subluxation Horizontal (Chance Fx L2 or La) (10) Transverse process fracture Rotational fracture Disk rupture Posterior ligamentous tear Unknown Total 9 7 7 2 2 10 2 2 2 2 6 51 Source: Williams JS, Kirkpatrick JR (1971) The nature of seat belt injuries.

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Abdominal Trauma: Surgical and Radiologic Diagnosis by Harry M. Delany M.D., F.A.C.S., Robert S. Jason M.D. (auth.)


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