Surgical Management of Abdominal Trauma: Hollow Viscus Injury
Jamie J Coleman1, Ben L Zarzaur2
1Department of Surgery, Indiana University School of Medicine, 1604 North Capitol Avenue, Office B242, Indianapolis, IN 46202, USA.
Abstract:
Hollow viscus injury is common with penetrating trauma to the torso and infrequent with a blunt traumatic mechanism of injury. The diagnosis in hemodynamically unstable patients is often made in the operating room. In hemodynamically stable patients, the diagnosis can be difficult due to additional injuries. Although computed tomography remains the diagnostic tool of choice in hemodynamically stable patients, it has lower reported sensitivity and specificity with hollow viscus injury. However, even short delays in diagnosis increase morbidity and mortality significantly. Operative management of stomach, duodenal, small bowel, and colon injuries is reviewed.
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