Table of Contents
What is the most common cause of death in abdominal trauma?
Among patients with penetrating abdominal trauma, the most common cause was stabbing. Most abdominal trauma patients presented with other injuries, especially patients with blunt abdominal trauma. Mortality was higher among penetrating abdominal trauma patients.
Can abdominal injury cause death?
Mortality rates for hospitalized patients are approximately 5-10%. The National Pediatric Trauma Registry reported that 9% of pediatric patients with blunt abdominal trauma died. Of these, only 22% were reported as having intra-abdominal injuries as the likely cause of death.
Is vascular trauma life threatening?
A penetrating injury can occur when a blood vessel is punctured, torn or severed. Either type of vascular trauma can cause the blood vessel to clot (thrombosis) and interrupt blood flow to an organ or extremity, or cause bleeding which can lead to life-threatening hemorrhage.
What is the most commonly injured abdominal organ from trauma?
The liver is the most frequently injured abdominal organ.
What organs are the primary sources of exsanguination during abdominal trauma?
The liver may be lacerated or contused, and a hematoma may develop. It may leak bile, usually without serious consequences. If severely injured, the liver may cause exsanguination (bleeding to death), requiring emergency surgery to stop the bleeding.
Why is blunt abdominal trauma considered lethal?
Blunt and penetrating abdominal trauma are major causes of morbidity and mortality in the United States, particularly because it can be very difficult to recognize clear symptoms early. In blunt force abdominal trauma, the spleen and liver are the most commonly injured organs, with a mortality rate of roughly 8.5%.
What is penetrating abdominal trauma?
Penetrating abdominal injury: Any penetrating injury that could have entered the peritoneal cavity or retroperitoneum inflicting damage on the abdominal contents. In general, the entry wounds for an abdominal injury extend from the fifth intercostal space to the perineum.
What happens during vascular injury?
Vascular trauma, or damage to a blood vessel, can happen to anyone. Often the result of an accident or injury, a vascular trauma can be mild, moderate, or severe. Some common symptoms of vascular trauma are bleeding, bruising, and fractured bones.
How is vascular trauma treated?
Treating vascular injuries will vary depending on the type and intensity of the injury. Endovascular treatment by embolisation or injections are usually used, although they do not always cure the issue. Other techniques include endoprosthesis, which allow the vessel’s lumen to be kept open and avoid haemorrhage.
Which hollow organ is most susceptible to injury from penetrating abdominal trauma?
Penetrating abdominal trauma is most commonly caused by stabbing or gunshot wounds. The most commonly injured regions are the small bowel, large bowel, liver, and intra-abdominal vasculature.
Which abdominal organ or structure if seriously injured would cause the most rapid death?
Liver injury is a significant cause of morbidity and mortality in trauma patients, and being the largest solid organ within the abdominal cavity, it is easily injured.
How is penetrating abdominal trauma treated?
The standard management of penetrating abdominal trauma is a laparotomy. A greater understanding of mechanisms of injury and improved imaging has resulted in conservative operative strategies in some cases.
Can vascular trauma heal itself?
The experts in the UPMC Division of Vascular Surgery provide the latest treatments for vascular trauma, from minor injuries to emergencies. Vascular trauma can go away on its own, but severe instances may require surgery.
What is the medical term for surgical repair of a blood vessel?
Definition of angioplasty : surgical repair or recanalization of a blood vessel especially : balloon angioplasty.
What causes vascular trauma?
What causes vascular injuries? The most common vascular injuries are impacts to the blood vessels. The most common of these include traffic, work, and home accidents, in some cases. On rare occasions, the vascular injury may be caused by trauma such as a stab wound.
What is the most important intervention for a patient that has been stabbed?
Sit or lie the person down – to manage shock and prevent them from feeling dizzy and faint. Examine the area to see if there is anything stuck in the wound – if there is do not remove it. Elevate the bleeding area above the level of the heart to slow down the bleeding.
Which type of injury requires immediate surgery?
Life-threatening problems that can require immediate surgical intervention include: Heart emergencies — heart attacks, aortic dissection, and aneurysms. Spinal cord and brain injuries — brain hemorrhaging (bleeding), skull fracture, spinal cord compression, and back and neck fractures.
Which term means tissue death of blood vessels?
• -necrosis means tissue death. Arterionecrosis (ar-teeree- oh-neh-KROH-sis) is the tissue. death of an artery or arteries (arteri/o means artery, and –necrosis means tissue death). • -sclerosis means abnormal hardening.