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Late abdominal complications in war wounded

J M Klausner1, R R Rozin

  • 1Department of Surgery, Tel Aviv Sourasky Medical Center, Israel.

The Journal of Trauma
|February 1, 1995
PubMed
Summary
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Delayed abdominal complications from battle injuries are common, often surfacing years later. This study highlights the diverse range of these late-onset issues in veterans and their successful diagnosis and treatment.

Area of Science:

  • Trauma Surgery
  • Gastroenterology
  • Military Medicine

Background:

  • Battle injuries can lead to delayed abdominal complications, with diagnosis often taking years.
  • A significant portion of veterans treated for war wounds develop long-term abdominal issues.

Purpose of the Study:

  • To investigate the spectrum of delayed abdominal complications in veterans injured in wars.
  • To analyze the diagnostic challenges and treatment outcomes for these late-onset conditions.

Main Methods:

  • Retrospective analysis of 122 veterans with abdominal complaints following war injuries (1975-1989).
  • Review of surgical history, presenting symptoms, diagnostic work-up, and treatment interventions.
  • Categorization of complications including peptic ulcers, intestinal obstruction, hernias, sinuses, fistulas, and abscesses.

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Main Results:

  • Delayed diagnosis occurred in 70% of patients, with a 1-8 year delay.
  • Common complaints included pain, dyspepsia, nausea, vomiting, and bowel disturbances.
  • Identified complications: peptic ulcers (31), intestinal obstruction (19), ventral hernias (49), abdominal wall sinuses (13), fistulas (3), and abscesses (15).
  • Successful diagnosis and treatment were achieved in 77% of patients.

Conclusions:

  • Delayed abdominal complications are a significant long-term consequence of battle injuries.
  • Early recognition and comprehensive evaluation are crucial for managing these complex cases.
  • Surgical interventions are frequently required to address complications such as obstructions, hernias, and abscesses.