Ioana Iftimie-Năstase 1, M. Beuran 1
1 Department of General Surgery, Clinical Emergency Hospital, Bucharest
Abstract
Background. The purpose of this paper is that of assessing the prognostic factors of gravity
for patients with blunt abdominal trauma and associated hollow viscus and mesentry injuries, as well as
evaluating the efficiency of imaging methods as diagnostic tools in these cases. Patients and methods.
This paper is a mixed cohort study, both retrospective and prospective, between 2004 and 2012, being
currently underway. The patients included in the study are multiple trauma patients admitted in the ICU
and surgical wards of the Clinical Emergency Hospital, Bucharest. The patients included in the study were
victims of motor vehicle accidents, assaults, falls from height, etc. and their inclusion in this study relied
on predetermined criteria. Conclusions. Hollow viscus injuries are the main concern in blunt abdominal
trauma patients with associated visceral lesions, including those treated non-operatively, since clinical
examination is notoriously unreliable in making a diagnosis in these cases and imagery tools may also
provide equivocal results, leading to blank laparotomies or missed hollow viscus injuries, which in turn
lead to an increased rate of complications: hemoperitoneum/peritonitis- MOFS-death.