Penetrating Injuries to the Stomach, Duodenum, and Small Bowel

Weinberg, Jordan A.; Croce, Martin A.

doi:10.1007/s40719-015-0010-2

Cited by 17 publications

(7 citation statements)

References 11 publications

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“…Such perforations invariably cause pneumoperitoneum. 7 The present case had no pneumoperitoneum even with moderate sized gastric perforation. This could probably be due to the anterior gastric tear being occluded by solid food material preventing the escape of air into peritoneal cavity.…”

Section: Discussionmentioning

confidence: 43%

Multiple stab injuries in an infant with silent bowel perforations: a case report

Darlington

Anitha

2018

Int Surg J

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Penetrating injuries of the abdomen occur rarely in infants and are mostly accidental. Non-accidental injuries are very rare. We report an infant boy who was stabbed by his father, at sixteen sites all over his abdomen and chest, with a pair of scissors. The child was clinically stable on presentation but omentum was seen protruding from one of the stab wounds. There was no evidence of peritonitis and imaging was normal. The stab wounds were explored, and laparotomy was performed. Intra-operatively, there was a sealed gastric perforation, a mesenteric tear and a long ileal laceration, which were all repaired primarily. In our case, though imaging was normal, a high clinical suspicion and early laparotomy reduced the morbidity and avoided mortality. This case report emphasizes the high index of suspicion for intra-abdominal injuries needed in penetrating abdominal injuries and the need for early exploration even if imaging and clinical status dictate otherwise.

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Section: Discussionmentioning

confidence: 43%

Multiple stab injuries in an infant with silent bowel perforations: a case report

Darlington

Anitha

2018

Int Surg J

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“…Once these goals have been achieved, the patient’s tendency towards the lethal diamond should be corrected and only then can the temporized injuries be managed definitively. A recent Cochrane review found that Damage Control Surgery patient selection is heavily dependent on clinical judgment and although it certainly has improved survival in the severely injured, it has been overused 6 , 28 , 29 . For this reason, it must be understood that many severe trauma patients may not require Damage Control Surgery, and may undergo definitive laparotomy during their initial intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Una vez se hayan alcanzado los objetivos principales de la cirugía de control de daños, se deben enfocar los esfuerzos por proveer la corrección del rombo letal y solo cuando se logre una adecuada resucitación se podrá realizar un manejo quirúrgico definitivo. En una reciente revisión de Cochrane se informó que la apropiada selección de los pacientes que se benefician de la estrategia de control de daños depende en alta medida del juicio médico y aunque se ha demostrado que esta estrategia aumenta la sobrevida de los pacientes politraumatizados, también se ha constatado que ha sido sobre utilizada 6 , 28 , 29 . Por esta razón, es importante que el cirujano esté consciente que no todos los pacientes de trauma requieren un control de daños y en muchos de ellos se puede realizar como primera intervención un control definitivo.…”

Section: Discussionunclassified

Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent?

et al. 2021

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Hollow viscus injuries represent a significant portion of overall lesions sustained during penetrating trauma. Currently, isolated small or large bowel injuries are commonly managed via primary anastomosis in patients undergoing definitive laparotomy or deferred anastomosis in patients requiring damage control surgery. The traditional surgical dogma of ostomy has proven to be unnecessary and, in many instances, actually increases morbidity. The aim of this article is to delineate the experience obtained in the management of combined hollow viscus injuries of patients suffering from penetrating trauma. We sought out to determine if primary and/or deferred bowel injury repair via anastomosis is the preferred surgical course in patients suffering from combined small and large bowel penetrating injuries. Our experience shows that more than 90% of all combined penetrating bowel injuries can be managed via primary or deferred anastomosis, even in the most severe cases requiring the application of damage control principles. Applying this strategy, the overall need for an ostomy (primary or deferred) could be reduced to less than 10%.

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“…In the presence of vascular compromise, the devitalized bowel must be resected and intestinal continuity must be reestablished with anastomotic sutures. Otherwise, if the adjacent bowel is found to be viable, the mesentery tear must be closed with sutures and not ligated, as it could potentially herniate [14,15].…”

Section: Discussionmentioning

confidence: 99%

Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report

Baldé¹

2016

ASS

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This study aims to evaluate the immediate post-operative results of this particular case report. Accidents at the workplace are frequent in Africa due to lack of adequate protective equipment. The traumatic injuries sustained can be potentially life-threatening. Impalement injuries related to these accidents are even more rarely encountered in surgical practice. We are reporting on a particular case of a 14-year old male patient who was admitted at the department of visceral surgery at the National Hospital of Donka, Conakry, Guinea, for emergency evaluation and treatment of a penetrating abdominal injury by impalement on a wooden bar that had occurred following a fall from a building at a construction site. The bar penetrated from the left flank and exited through the right flank, resulting in evisceration and incarceration of the small bowel. An emergency operation was performed to remove the foreign object and to reestablish anatomic continuity in the patient and resection of a 90cm-long necrotic segment of the terminal ileum.

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Penetrating Injuries to the Stomach, Duodenum, and Small Bowel

Cited by 17 publications

References 11 publications

Multiple stab injuries in an infant with silent bowel perforations: a case report

Multiple stab injuries in an infant with silent bowel perforations: a case report

Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent?

Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report

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