Abdominal trauma: Clinical monitoring, an overlooked yet essential ally
Hassan II University Hospital, Urology Department, Fez, Morocco.
Case Study
World Journal of Advanced Research and Reviews, 2024, 21(03), 1451–1454
Publication history:
Received on 02 February 2024; revised on 10 March 2024; accepted on 12 March 2024
Abstract:
Abdominal traumas are a frequent emergency and are associated with significant morbidity and mortality in spite of improved recongnition, diagnosis and management. Trauma is the second largest cause of disease accounting for 16% of global burden. Approach to trauma should be systemic and prioritized. The hemodynamically unstable patient should undergo expedient sonography to rule out abdominal haemorrhage. The use of computer tomography (CT) in this difficult patient group is also currently evaluated; however it takes specific amendments to the protocol and institution. In the hemodynamically stable patient however, computed tomography is the modality of choice to evaluate the injured abdomen. Non operative treatment can be successful in up to 80% of selected cases. This article objective the interest of close monitoring in the management of abdominal trauma, this monitoring reduces the rate of surgical intervention in clinically stable patients and also allows to propose a delayed surgery if the patient’s clinical or radiological status changes during monitoring.
Keywords:
Abdominal; Trauma; Computed Tomography; Clinical Monitoring; Operative; Nonoperative
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Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0