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

  • L. Johansson (a1), A. Jonsson (a1), S. Lennquist (a1), P.-O Nystrom (a1) and K. Norrby (a1)...

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.

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1.Robbs, J.V., Moore, S.W., & Pillay, S.P. 1980. Blunt abdominal trauma with jejunal injury: A review. J Trauma 20, 308.
2.Hughes, C.E., Conn, J. Jr, & Sherman, J.O. 1977. Intramural hematoma of the gastro-intestinal tract. Am J Surg 133, 276.
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.

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

  • L. Johansson (a1), A. Jonsson (a1), S. Lennquist (a1), P.-O Nystrom (a1) and K. Norrby (a1)...

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