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Hollow visceral injury after blunt lower thoracic and abdominal trauma

Permentier, Krisa; De Turck, Brunob; Van Nieuwenhove, Yvesc; Corne, Lucb; Delooz, Hermanb

European Journal of Emergency Medicine: December 2003 - Volume 10 - Issue 4 - p 337-341
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The early diagnosis of hollow viscous injury after blunt abdominal trauma remains a challenge for physicians in the Emergency Department, although the early diagnosis of hollow viscous injury decreases morbidity and mortality. After a description of two cases of hollow viscous injury after blunt abdominal trauma, a literature review is performed concerning the indications and limitations of diagnostic imaging modalities. Focused abdominal sonography for trauma, computed tomography scan and diagnostic peritoneal lavage are described. On the basis of the review a proposal for maximal diagnostic accuracy is made.

aEmergency Department, General City Hospital ASZ Aalst, Aalst, Belgium

bEmergency Department

cDepartment of Surgery, Free University Hospital AZ–VUB, Brussels, Belgium

Correspondence to Kris Permentier, General City Hospital ASZ Aalst, Merestraat 80, 9300 Aalst, Belgium

Tel: +32 (0)54 43 27 11; fax: +32 (0)54 43 27 10;

e-mail: kris.permentier@aszminaalst.be

© 2003 Lippincott Williams & Wilkins, Inc.