The diagnostic strategy based on the available diagnostic equipment. However, it should base on the specific condition of each individuals and available diagnostic equipment and their efficacy. From which the guideline of proper diagnosis was introduced for each hospital.
Diagnosis ; Abdominal Injuries ; Wounds and Injuries

Duodenal injuries following a blunt or penetrating trauma are uncommon and account for just 3% to 5% of all abdominal injuries. About 22% of all duodenal injuries are caused by blunt trauma. An overlooked injury or delayed diagnosis of duodenal injury may lead to increased mortality and morbidity. We report two cases of a duodenal injury following blunt abdominal trauma.
Abdominal Injuries ; Delayed Diagnosis

45 patients with spleen trauma were treated in the hospital No 19-8. Among then, 17 underwent a prevervative operation for suturing the spleen according to the state of trauma in site, the surgeon's qualification and the follow- up conditions. The preservative suture must be safe, spleen function must be preserved, any spleen edge could be partialy removed in case of injury. Early result can be altained in 94,11% and early post operative complication in 5,89% of cases.
Abdominal Injuries ; Surgery ; Diagnosis

The usefulness of peritoneal lavage in the identification of patients who require laparotomy after close abdominal trauma is not controversial. Peritoneal lavage should be seen as an adjunct to clinical presentation poses unusual difficulty, for example, when consciousness in impaired or when diagnostic doubt exists... The diagnostic accuracy of peritoneal lavage in blunt abdominal trauma has been shown of 100%. In this collected of 17 patients, the false positive rate was 0%.
Peritoneal Lavage ; Abdominal Injuries ; diagnosis

Abdominal injury include trauma on belly and abdominal injury is a common surgical emergency in our country, occupy from 10-13%. The death rate is still high:10%. In the world, the view of using laparoscopy in diagnosis and treatment for abdominal injury cases are performed effectively on almost of surgical centres. In Viet Nam, this method was applied successful at Cho Ray hospital, Viet Duc hospital and Army hospital No 108 since the year of 1990. However, in our country, the research on applying laparoscopy on diagnosis and treatment abdominal injury is limited
Abdominal Injuries ; Laparoscopy ; Diagnosis ; Therapeutics

Trauma-related spigelian hernia is a rare event that has been reported only sporadically. Because of its rare nature and nonspecific physical findings, its diagnosis is difficult. This hernia most commonly presents at the level of the semicircular line known as the arcuate line. A 70-year-old man was admitted after overturn of his cultivator. A scratch wound surrounding a cutaneous sign of the cultivator handlebar impact was evident on his right upper abdominal wall. Trauma-related spigelian hernia occurred in the site of the handlebar impact. We report this cases of trauma-related spigelian hernia that was treated by primary repair with a brief review of the literature.
Abdomen* ; Abdominal Wall ; Aged ; Diagnosis ; Hernia* ; Humans ; Wounds and Injuries

Abdominal tuberculosis is a rare disease, about 5% of extra-pulmonary tuberculosis. However, the diagnosis of abdominal tuberculosis is difficult, because of its atypical symptoms and signs, and ambiguous results upon physical examination. When abdominal tuberculosis is combined with abdominal injury, the diagnosis will be especially complex. We present our experience of abdominal tuberculosis associated with abdominal trauma.
Abdomen ; Abdominal Injuries ; Diagnosis ; Physical Examination ; Rare Diseases ; Tuberculosis*

The superior mesenteric artery (SMA) is one of the visceral branches of the abdominal aorta. It has multiple branches to supply blood and nutrition to the intestinal segment, and these form an anastomosis with each other. SMA injuries are usually classified as major visceral artery injuries, and have an incidence of <1%. The clinical manifestations of patients with SMA injuries include intra-abdominal bleeding and peritoneal irritation. The compromised blood supply can lead to intestinal ischemia and perforation. These injuries are often not diagnosed in time and have significant mortality rates of 25%‍-‍68% due to the lack of specific features (Maithel et al., 2020). Not only that, but patients with less severe trauma or no visible damage on initial examination may still have clinically significant intra-abdominal injuries (Nishijima et al., 2012). Emergency departments often encounter multiple cases that require urgent diagnosis and treatment (Li et al., 2021; Zhang et al., 2021; Zhou et al., 2021), and therefore, it is imperative to diagnose and manage these rare injuries expeditiously.
Humans ; Mesenteric Artery, Superior/surgery* ; Abdominal Injuries/diagnosis* ; Intestines

An isolated injury of the gallbladder rarely occurs after blunt abdominal trauma and is usually associated with damage to other intra-abdominal organs, which clearly necessitating surgical intervention. Blunt abdominal trauma is often overlooked because there may be no visible signs on the abdominal wall. It is important to closely follow up patients and look for early signs of organ damage as an isolated injury of the gallbladder often follows a vague and insidious clinical course. A combination of special investigations, including a contrast enhanced computed tomographic scan, may be required to confirm the diagnosis of this relatively rare, but serious injury, and if a lesion is suspected, a laparoscopy can be successfully used to confirm the diagnosis and treat this condition without the usual requirement of open exploration. Unfortunately, in our case, a laparoscopy could not be performed due to the patient having undergone previous surgery for early gastric cancer. Herein, the case of a 56-year-old male presenting with an isolated gallbladder injury immediately after violent blunt abdominal trauma, diagnosed on the basis of a computed tomographic scan, which was treated successfully, is reported.
Abdominal Injuries ; Abdominal Wall ; Diagnosis ; Gallbladder* ; Humans ; Laparoscopy ; Male ; Middle Aged ; Stomach Neoplasms

In order to summarize the clinical diagnosis and treatment methods for 42 cases of multiple injuries with pancreatic injury, a retrospective analysis on 42 cases of multiple injuries with pancreatic injury from January 1990 to January 2006 was carried out in our hospital. Most cases were associated with hemopneumothorax and rib fractures (52.3%), shock (50%), multiple fractures (47.6%), and severe brain injury (26.1%). In 42 cases, one case died of severe hemorrhagic shock, and the remaining 41 cases (97.6%) were cured (including 40 cases receiving surgical operation and one case receiving the conservative treatment). Postoperative complications occurred in 16 cases (21 cases/times): pancreatic fistula (5 cases/times) and incisional wound infection (5 cases/times), intra-abdominal infection (3 cases/times), stress ulcer (3 cases/times), pleural effusion (3 cases/times), pulmonary infection (one case) and wound dehiscence (1 case). The principle therapy of multiple injuries with pancreatic injury is to rescue life, followed by active treatment to prevent injuries which giving rise to the abnormal respiratory and circulatory functions, management of cerebral hernia and other injuries which endangers life at last, and the pancreatic injury to increase the survival rate and survival quality.
Abdominal Injuries/*diagnosis ; Abdominal Injuries/*therapy ; Accidents, Traffic ; Emergency Medicine/methods ; Multiple Trauma ; Pancreas/*injuries ; Retrospective Studies ; Treatment Outcome ; Wound Healing ; Wounds, Nonpenetrating/diagnosis ; Wounds, Nonpenetrating/therapy