eMedicine Specialties > Trauma > Abdominal Trauma
Abdominal Trauma, Penetrating: Multimedia
Updated: Jun 12, 2007
Multimedia
![]() | Media file 1: Management of penetrating abdominal trauma. |
![]() | Media file 2: Penetrating abdominal trauma. Small bowel anastomosis, step 1: the gastrointestinal anastomotic stapler is inserted into the bowel. |
![]() | Media file 3: Penetrating abdominal trauma. Small bowel anastomosis, step 2: the gastrointestinal anastomotic stapler is fired inside 2 bowel loops. |
![]() | Media file 4: Penetrating abdominal trauma. Small bowel anastomosis, step 3: the TA stapler is fired across 2 bowel ends. |
![]() | Media file 5: Penetrating abdominal trauma. A defect in the mesentery is approximated to prevent internal herniation. |
![]() | Media file 6: Penetrating abdominal trauma. Tangential gunshot wound to the liver. |
![]() | Media file 7: Penetrating abdominal trauma. Strangulated small bowel in a patient with a previous gunshot wound to the abdomen. |
![]() | Media file 8: Penetrating abdominal trauma. Blind loop syndrome in a patient with a previous gunshot wound to the abdomen and side-to-side anastomosis. |
More on Abdominal Trauma, Penetrating |
| Overview: Abdominal Trauma, Penetrating |
| Workup: Abdominal Trauma, Penetrating |
| Treatment: Abdominal Trauma, Penetrating |
| Follow-up: Abdominal Trauma, Penetrating |
Multimedia: Abdominal Trauma, Penetrating |
| References |
| Further Reading |
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References
Nicholas JM, Rix EP, Easley KA, Feliciano DV, Cava RA, Ingram WL, et al. Changing patterns in the management of penetrating abdominal trauma: the more things change, the more they stay the same. J Trauma. Dec 2003;55(6):1095-108; discussion 1108-10. [Medline].
Simon RJ, Rabin J, Kuhls D. Impact of increased use of laparoscopy on negative laparotomy rates after penetrating trauma. J Trauma. Aug 2002;53(2):297-302; discussion 302. [Medline].
Taner AS, Topgul K, Kucukel F, Demir A, Sari S. Diagnostic laparoscopy decreases the rate of unnecessary laparotomies and reduces hospital costs in trauma patients. J Laparoendosc Adv Surg Tech A. Aug 2001;11(4):207-11. [Medline].
Shanmuganathan K, Mirvis SE, Chiu WC, Killeen KL, Scalea TM. Triple-contrast helical CT in penetrating torso trauma: a prospective study to determine peritoneal violation and the need for laparotomy. AJR Am J Roentgenol. Dec 2001;177(6):1247-56. [Medline].
Feliciano DV, Burch JM, Spjut-Patrinely V, Mattox KL, Jordan GL Jr. Abdominal gunshot wounds. An urban trauma center's experience with 300 consecutive patients. Ann Surg. Sep 1988;208(3):362-70. [Medline].
Demetriades D, Velmahos G, Cornwell E 3rd, Berne TV, Cober S, Bhasin PS. Selective nonoperative management of gunshot wounds of the anterior abdomen. Arch Surg. Feb 1997;132(2):178-83. [Medline].
Kelemen JJ, Martin RR, Obney JA, Jenkins D, Kissinger DP. Evaluation of diagnostic peritoneal lavage in stable patients with gunshot wounds to the abdomen. Arch Surg. Aug 1997;132(8):909-13. [Medline].
Udobi KF, Rodriguez A, Chiu WC, Scalea TM. Role of ultrasonography in penetrating abdominal trauma: a prospective clinical study. J Trauma. Mar 2001;50(3):475-9. [Medline].
Boulanger BR, Kearney PA, Tsuei B, Ochoa JB. The routine use of sonography in penetrating torso injury is beneficial. J Trauma. Aug 2001;51(2):320-5. [Medline].
Cox EF. Blunt abdominal trauma. A 5-year analysis of 870 patients requiring celiotomy. Ann Surg. Apr 1984;199(4):467-74. [Medline].
Fabian TC. Abdominal trauma including indications for celiotomy. 1996;441-59.
Jacobs LM, et al. Advanced Trauma Operative Management: Surgical Strategies for Penetrating Trauma. Connecticut: Cine-Med Inc; 2004.
Mattox KL, Feliciano DV, Moore EE. Trauma. 4th ed. New York: McGraw-Hill; 1999.
Morris JA Jr, Eddy VA, Rutherford EJ. The trauma celiotomy: the evolving concepts of damage control. Curr Probl Surg. Aug 1996;33(8):611-700. [Medline].
Murphy SH. National Vital Statistics Reports. Deaths, final data for 1998. 2000;Available at: http://www.cdc.gov/nchs/data/nvsr/nvsr48/nvs48_11.pdf. [Full Text].
Pourmoghadam KK, Fogler RJ, Shaftan GW. Ligation: an alternative for control of exsanguination in major vascular injuries. J Trauma. Jul 1997;43(1):126-30. [Medline].
Thal ER. Operative exposure of abdominal injuries and closure of the abdomen. In: Wilmore DW, Cheung LY, Harken AH, Holcroft JW, Meakins JL, eds. Scientific American Surgery. New York: Scientific American; 1996: revised 1997.
Weigelt JA, Thal ER, Carrico JC, eds. Operative Trauma Management Atlas. Stamford, Conn: Appleton & Lange; 1997.
Further Reading
Lawson R, Goosen J. Abdominal Stab Wound Exploration. eMedicine from WebMD. Updated May 31, 2007. Available at: http://www.emedicine.com/proc/topic82869.htm.
Keywords
gunshot wound, GSW, gut shot, stab wound, missile injury, celiotomy, diagnostic peritoneal lavage, DPL, diagnostic laparoscopy, intra-abdominal injuries, intraabdominal injuries, advanced trauma life support, ATLS
















Multimedia: Abdominal Trauma, Penetrating