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Delayed Perforation of the Intestine after Abdominal Trauma—A Case of Complications in Major Trauma Cases

Published online by Cambridge University Press:  28 June 2012

L. Johansson ,
A. Jonsson ,
S. Lennquist ,
P.-O Nystrom  and
K. Norrby
L. Johansson
Affiliation:
Departments of Surgery and Pathology II, University Hospital, Linkoping, Sweden and the National Defence Research Institute, Sundbyberg, Sweden.
A. Jonsson
Affiliation:
Departments of Surgery and Pathology II, University Hospital, Linkoping, Sweden and the National Defence Research Institute, Sundbyberg, Sweden.
S. Lennquist
Affiliation:
Departments of Surgery and Pathology II, University Hospital, Linkoping, Sweden and the National Defence Research Institute, Sundbyberg, Sweden.
P.-O Nystrom
Affiliation:
Departments of Surgery and Pathology II, University Hospital, Linkoping, Sweden and the National Defence Research Institute, Sundbyberg, Sweden.
K. Norrby
Affiliation:
Departments of Surgery and Pathology II, University Hospital, Linkoping, Sweden and the National Defence Research Institute, Sundbyberg, Sweden.
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Extract

The mortality rate for penetrating trauma of the abdomen has declined to a present rate of approximately 10%. However, blunt abdominal trauma still carries a high mortality, in some reports up to 30%. This is due mainly to major trauma with a resulting slow onset of symptoms sometimes resulting in a delay in diagnosis and treatment. One possible cause of delayed symptomatology after abdominal trauma could be delayed perforation of intestinal wall hemorrhages. A survey of the literature on this type of intestinal lesion was done in 1977 by Hughes et al, who found 260 clinical reports of intestinal wall hematomas.

Type
Research Article
Information
Prehospital and Disaster Medicine , Volume 3 , Issue 1: Contributions from the Third World Congress on Emergency and Disaster Medicine, Rome, Italy, May, 1983 , 1987 , pp. 26 - 27
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1987

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References

1.Robbs, J.V., Moore, S.W., & Pillay, S.P. 1980. Blunt abdominal trauma with jejunal injury: A review. J Trauma 20, 308.Google Scholar
2.Hughes, C.E., Conn, J. Jr, & Sherman, J.O. 1977. Intramural hematoma of the gastro-intestinal tract. Am J Surg 133, 276.CrossRefGoogle Scholar
3.Johansson, L., Norrby, K., Nyström, P-O., & Lennquist, S. 1983. Intestinal intramural haemorrhage after abdominal missile trauma—clinical classification and prognosis. Acta Chir Scand, in press.Google Scholar