Abdominal trauma is usually divided into blunt and penetrating trauma.
Findings of abdominal trauma
- haemoperitoneum
- splenic trauma: most common
- hepatic trauma
- renal trauma
- pancreatic trauma
-
gastrointestinal tract (bowel) trauma:
- proximal jejunum is most commonly affected by blunt trauma, followed by the duodenum and ascending colon at the ileocecal valve region
- descending colon is only rarely involved
- less common abdominal trauma injuries:
- gallbladder
- ureter
- stomach
- adrenal
- urinary bladder trauma
- vascular trauma: abdominal aortic injury and other major abdominal and pelvic vessel injuries (e.g. inferior vena cava, renal vessels, celiac axis, superior mesenteric vessels, lumbar vessels, and iliac vessels)
- abdominal wall trauma
- diaphragmatic rupture
- retroperitoneal hemorrhage
- hypoperfusion complex