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Abdominal Trauma

Featured Article: Management of Exsanguinating Pelvis Injuries

Severe pelvic injuries associated with disruption of pelvic vasculature carry an extremely high mortality.  A directed approach to management can significantly improve survival in this critical patient group.

Featured Case Study: Bladder Rupture Following Assault

An assaulted patient is found to have rib fractures and an intraperitoneal bladder rupture that was repaired during an exploratory laparotomy.

Featured Images

  • Bladder rupture following blunt abdominal injury

    Traumatic bladder rupture

    Gabriel Mejia MD, SF-COT-ACS. Hospital General Balbuena. Mexico city

  • Postraumatic hepatothorax

    CT scan of a hepatothorax

    Major Olliver Nunez-Cantu MD Central Military Hospital, Mexico City.


  • Grade III Blunt Pancreatic Injury 02

    Intraoperative Findings

    Juan C Duchesne MD, FACS, FCCP Spirit Of Charity Hospital, NOLA


  • Grade III Blunt Pancreatic Injury 01 - CT Scan

    CT abdomen with Grade III Blunt Pancreatic Injury

    Juan C Duchesne MD, FACS, FCCP Spirit Of Charity Hospital, NOLA


  • horseshoe kidney trauma

    Hospital Escuela Corrientes, Argentina

    Armando Carrasco - Nelson Maróttoli

  • Liver gunshot - ballon tamponade

    Pablo Maricevich and Roberto Lustosa

    Hospital da Restauração, Recife - Pe, Brasil



Recent Images

  • Distended Bladder Following Pelvic Fracture

    Massively distended urinary bladder following pelvic fracture in a lady

    Dr. Biplab Mishra

  • A Stab injury to the liver

    A CT scan of the abdomen post penetrating trauma

    Dr Priyadarshini Manay, Dr Monty Khajanchi, Dr Ram Prajapati


  • Perforation of the small bowel followng blunt injury

    CT Transverse section of the abdomen

    Dr Payman Moharamzadeh - Professor of Emergency Medicine, Imam Reza Hospital, Iran


  • Hepatic injury caused by a firearm

    Packing of the injured right lobe of the liver and gallbladder

    Victor Joel Garza Silva, Monterrey, Mexico


  • Large Abdominal laceration by a sharp weapon

    Large abdominal lacerations are amenable to open abdomen management and low cost dressings

    Dr D Allard, Trauma Surgeon, GF Jooste hospital, Cape Town, South Africa

  • Damage control bowel ties

    Tied off bowel using swab tape

    Dr D Allard, trauma surgeon, GF Jooste hospital, Cape Town, South Africa



All Images in This Category »

Article List

Management of Exsanguinating Pelvis Injuries

An algorithm for the management of exsanguinating pelvic trauma

Karim Brohi, London, UK, May 20, 2008

Severe pelvic injuries associated with disruption of pelvic vasculature carry an extremely high mortality.  A directed approach to management can significantly improve survival in this critical patient group.

Renal Trauma

, November 30, 2006

Focused Assessment with Sonography for Trauma (FAST)

A primer on the FAST exam

Karim Brohi, London, UK, July 02, 2006

A primer on the FAST ultrasound examination.

Penetrating Abdominal Trauma: Guidelines for Evaluation

charles krin, Karim Brohi, London, UK, August 09, 2004

Injury to the Colon and Rectum

, July 08, 2003

Damage Control Surgery

Karim Brohi, London, UK, June 01, 2000

Damage control surgery is one of the major advances in surgical technique in the past 20 years.  Multiple trauma patients are more likely to die from their intra-operative metabolic failure that from a failure to complete operative repairs. Patients with major exsanguinating injuries will not survive complex procedures. The operating team must undergo a shift in their mindset if the patient is to survive such devastating injuries.

Case Presentations

Bladder Rupture Following Assault

Tiffany Frederickson, MD, August 26, 2010

An assaulted patient is found to have rib fractures and an intraperitoneal bladder rupture that was repaired during an exploratory laparotomy.

A Coeliac artery aneurysm - An uncommon risk of blunt abdominal trauma

Coeliac artery aneurysms are rarely seen clinically. We report an unusual case of a large coeliac artery aneurysm in a boxer who presented with vague abdominal pain and a pulsatile epigastric

Anas Abdullah, May 17, 2010

Coeliac arterial aneurysms are rare, but with significant risk of rupture, multiple methods of treatment have been successful and early recognition and intervention is crucial.

Classic Case: Tension Gastrothorax

Karim Brohi, London, UK, July 01, 2006

A rare case of tension gastrothorax following blunt trauma and diaphragmatic rupture.

Infrahepatic Inferior Vena Cava injury

Lateral repair

, October 16, 2005

Gunshot wound to the abdomen, with injury to the lateral wall of the infrahepatic inferior vena cava.  The IVC was accessed through a right medial visceral rotation and a lateral repair performed.