parenchymal vs hollow organ injury

Abdominal trauma - WikipediaAbdominal trauma is an injury to the abdomen. It may be blunt or penetrating and may involve damage to the abdominal organs. Signs and symptoms include abdominal pain, tenderness, rigidity, and bruising of the external abdomen. Abdominal trauma presents a risk of severe blood loss and infection. Diagnosis may involve ultrasonography, computed tomography, and peritoneal lavage, and treatment may involve surgery. injury to the lower chest may cause splenic or liver injuries.

Classification of liver and pancreatic trauma - NCBI - NIHThe widely accepted organ injury Scale is based on anatomical criteria that quantify the disruption of the liver parenchyma and defines six groups which may influence management strategies and relate to outcome. The less common pancreatic injury remains a major source of morbidity and mortality due to the likelihood of associated solid or hollow-organ injuries. The implication of a delay in diagnosis and management emphasizes the need for an accurate classification system.

Parenchyma - WikipediaParenchyma is the bulk of a substance. In animals, a parenchyma comprises the functional parts of an organ and in plants parenchyma is the ground tissue of nonwoody structures. Contents. [hide]. 1 Etymology; 2 Animals; 3 Plants; 4 References; 5 External links. Etymology[edit]. The term "parenchyma" is New Latin from Greek parenkhyma, "visceral flesh" from parenkhein, "to pour in" from - para-, "beside", en-, "in" and khein, "to pour". Originally ...

Abdominal Injuries Notes - UC Davis Healthinjury to abdominal organs, especially those in the retroperitoneal space, can bleed as the space can hold a great deal of blood, up to four liters. Solid organs, such as the liver and spleen bleed profusely as do the major abdominal blood vessels, the aorta and vena cava. injury to hollow organs such as the stom

Intestinal Injury from Blunt Abdominal Trauma: A Study of 47 CasesA positive test is defined as evidence of free fluid or solid organ parenchymal injury.16 DPL was the diagnostic method of choice for evaluating blunt abdominal injury in the past, but recently has been often replaced by CT imaging.17 DPL is an important adjunct in cases where bowel injury is suspected.18 Although DPL is sensitive in identifying hemoperitoneum and associated hollow viscus injury, it has been criticized for its higher rate of non-therapeutic laparotomy.19. CT findings ...

Angiography and embolisation for solid abdominal organ injury in ...28 Jun 2010 ... Surgery is necessary if there is parenchymal destruction and injury to hilar vessels [40] an injury involving multiple vessels, associated hollow viscus injury or other injuries requiring operative intervention. There are no set criteria to select patients for angiography and embolisation. If there is active bleeding (contrast blush) or non-bleeding vascular injury such as pseudoaneurysm, high grade injury or haemoperitoneum on CT, angiography is indicated [29,41,42].

Factors Affecting Morbidity in Solid Organ Injuries - NCBI - NIH8 Jun 2016 ... One hundred nine patients that were diagnosed with solid organ injury due to abdominal trauma between January 2005 and October 2015 in General Surgery Department of Dicle University Medical Faculty were examined retrospectively. Patients that had presented with the same complaints but had had hollow organ, central retroperitoneal, or diaphragmatic injuries additionally, or who had undergone packing/depacking application, were excluded from the study.

Evaluation And Management Of Pediatric Abdominal Trauma - EB MedicineChest radiographs are usually normal but may have findings suggestive of splenic injury, such as lower left rib fractures, elevation of the left hemidiaphragm, pleural effusion, or a medially displaced gastric bubble. Stable children with suspected splenic injury should undergo an abdominopelvic CT scan. CT can accurately determine the degree of splenic injury, associated intra-abdominal organ injury, and the amount of free fluid in the abdomen (hemoperitoneum). The American ...

Selective Nonoperative Management of Penetrating Abdominal ...Prospective, protocol-driven study, which included all penetrating abdominal solid organ (liver, spleen, kidney) injuries admitted to a level I trauma center, over a 20-month period. Patients with hemodynamic instability, peritonitis, or an unevaluable abdomen underwent an immediate laparotomy. Patients who were hemodynamically stable and had no signs of peritonitis were selected for further CT scan evaluation. In the absence of CT scan findings suggestive of hollow viscus injury, ...

Injury Scoring Scales - The American Association for the Surgery of ...Grade*, Description of injury, ICD-9, AIS-90. I, Contusion, 868.01/.11, 1. II, Laceration involving only cortex (<2 cm), 868.01/.11, 1. III, Laceration extending into medulla (> 2 cm), 868.01/.11, 2. IV, >50% parenchymal destruction, 868.01/.11, 2. V, Total parenchymal destruction (including massive intraparenchymal hemorrhage), 868.01/.11, 3. Avulsion from blood supply. *Advance one grade for bilateral lesions up to grade V. From Moore et al [1]; with&nbsp;...

Seat belt syndrome, a new pattern of injury in developing countries ...1 Sep 2014 ... The symptoms associated with this syndrome depend on the injured organ. In the case where the hollow organs are injured peritoneal signs may appear. While in the case of parenchymal or vascular injuries, hypovolemic signs dominate the clinical picture. Peritoneal signs may be hidden by the presence of rectus muscle spasm or by the presence of serious extraperitoneal injury. Repeated examinations of the abdomen are essential since the possibility exists that&nbsp;...

Seat belt syndrome - WikipediaSeat belt syndrome is a collective term that includes all injury profiles associated with the use of seat belts. It is defined classically as a seat belt sign plus an intra-abdominal organ injury (e.g. bowel perforations) and/or thoraco-lumbar vertebral fractures. The seat-belt sign was originally described by Garrett and Braunstein in 1962 as linear ecchymosis of the abdominal wall following a motor vehicle accident. It is indicative of an internal injury in as many as 30% of cases seen in the&nbsp;...

Conservative management of abdominal injuries - NCBI - NIH1 Dec 2013 ... In addition to this, additional methods such as diagnostic laparotomy or diagnostic laparoscopy were used for diagnosis and monitoring, especially in noncooperative patients due to various reasons, including cranial trauma or alcohol. Patients with suspicion of hollow organ injuries were also operated. Patients with stab wounds were hospitalized for clinical follow-up and treatment due to possible penetrating abdominal injury. Patients were accepted as penetrating&nbsp;...

Management of liver trauma in adults - NCBI - NIH[1,2] The anterior location in the abdominal cavity and fragile parenchyma with easily disrupted Glisson's capsule make this organ vulnerable to injury. .... Other indication for operative intervention is an associated hollow viscus injury.[43] ... Direct suture ligation of the parenchymal bleeding vessel, perihepatic packing, repair of venous injury under total vascular isolation and damage control surgery with utilization of preoperative and/or postoperative angioembolization are the preferred&nbsp;...

Solid organ injuries following abdominal trauma - SlideShare14 May 2014 ... LAPAROSCOPY ADVANTAGES extent of organ injuries and determines the need for laparotomy Defines which intraabdominal injuries may be safely managed nonsurgically More sensitive than DPL or CT in uncovering - Diaphragmatic injuries hollow viscus injuries Surgery can be done in same sitting With laparoscope with minimal trauma Open surgery DISADVANTAGES: pneumoperitoneum may elevate ICP General anesthesia usually necessary Patient&nbsp;...

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