Fascia, muscle and peritoneal rupture without any skin lesion as a result of blunt abdominal trauma--a case report
Blunt abdominal trauma is one of the important causes of morbidity and mortality in childhood. Rapid and correct diagnosis is critical for blunt abdominal trauma cases. A twelve-year-old male was admitted to our emergency service following a bicycle accident. He had mild abdominal discomfort by palp...
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Published in | Acta chirurgica belgica Vol. 108; no. 6; p. 774 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
England
01.11.2008
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Subjects | |
Online Access | Get more information |
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Summary: | Blunt abdominal trauma is one of the important causes of morbidity and mortality in childhood. Rapid and correct diagnosis is critical for blunt abdominal trauma cases.
A twelve-year-old male was admitted to our emergency service following a bicycle accident. He had mild abdominal discomfort by palpation located at the lower right abdominal quadrant. A hyperaemic area of 1 x 4 cm, was present on the skin surface. During the CT scan examination, a 1 x 1.8 cm rupture of the right rectus abmominis muscle at the pelvic inlet level was detected. Intra-operatively, we detected an approximately 10 cm irregular fascial rupture, an 8-10 cm muscular rupture of the rectus abdominis muscle and also a 10 cm peritoneal rupture.
Blunt abdominal trauma may cause severe intra-abdominal tissue and visceral injuries, even if no important clinical findings are present. So, all standard diagnostic procedures must be called into mind in order not to overlook severe intra-abdominal injuries. |
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ISSN: | 0001-5458 |
DOI: | 10.1080/00015458.2008.11680338 |