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3.13.5 - Traumatic Abdominal and Pelvic Injuries

from Section 3.13 - Severe Trauma and Multiple Injuries

Published online by Cambridge University Press:  27 July 2023

By
Karina Goodwin
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Abdominal and pelvic trauma may be concealed.

  2. 2. Exsanguination into the abdominal or pelvic cavity should be managed in the resuscitation phase.

  3. 3. Obvious abdominal distension is an indication for laparotomy.

  4. 4. Post-operative ileus should be anticipated and managed appropriately.

  5. 5. Abdominal compartment syndrome is a serious complication of abdominal/pelvic trauma.

Keywords

abdominalpelvicFAST scancompartment syndromelaparotomy
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 408 - 410
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

American College of Surgeons. ATLS® Advanced Trauma Life Support®. Student course manual, 9th edn. Chicago, IL: American College of Surgeons; 2012.Google Scholar
Kalff, JC, Wehner, S, Litkouhi, B. 2021. Postoperative ileus. www.uptodate.com/contents/postoperative-ileusGoogle Scholar
Kirkpatrick, AW, Roberts, DJ, De Waele, J, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 39:1190–206.CrossRefGoogle Scholar
Smith, T, Pinnock, C, Lin, T, Jones, R (eds). Fundamentals of Anaesthesia, 3rd edn. Cambridge: Cambridge University Press; 2009.CrossRefGoogle Scholar

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