GSW to liver

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Sal -

Here's my problem with that approach.  You know that in the next 12 - 24
hours, the patient will have more abdominal pain and maybe some distension.
Now, what?  

Errington C. Thompson, MD, FACS, FCCM
Trauma/Surgical Critical Care
Author - Letter to America
Asheville, NC

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of SJASMD at aol.com
Sent: Monday, December 31, 2007 12:38 AM
To: trauma-list at trauma.org
Subject: Re: GSW to liver

 
Dean
how do you do the CT? oral contrast ? contrast enema ?
 
sal
 
In a message dated 12/30/2007 8:17:57 A.M. W. Europe Standard Time,  
deanlutrin at gmail.com writes:

Hi  Errington

Here in JHB we see these kinds of cases quite regularly. IF  the patient is
stable and there is no other indication for immediate  surgery we do a CT
scan. If the tracts confirms absence of hollow viscus  injury (liver only,
liver + kidney etc..)
We simply admit patient, do  serial observations, Hb and treat complications
if and when they develop.  






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