Open AccessDuodenal Perforation following Blunt Abdominal Trauma Presenting as Normal in Abdominal Computed Tomography
Author(s) -
Tsai PK,
Yeh YT,
Yeh CB
Publication year - 2014
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791402100610
Subject(s) - medicine , abdominal trauma , emergency department , computed tomography , blunt , perforation , focused assessment with sonography for trauma , abdominal computed tomography , radiology , blunt trauma , abdominal ultrasound , surgery , physical examination , nursing , materials science , metallurgy , punching
Most emergency department (ED) physicians implement the Advanced Trauma Life Support (ATLS) approach, including primary and secondary survey, for the assessment of blunt abdominal trauma (BAT) patients. This report emphasizes the need for repeat Focused Assessment with Sonography for Trauma (FAST) and abdominal computed tomography (CT) if a BAT patient's condition persists or worsens. After initial negative FAST and abdominal CT findings, it is recommended that BAT patients with suspected intraabdominal injury should receive repeat examination in an optimal time. We report a patient who sustained duodenal perforation following BAT diagnosed by repeat ultrasound examination and abdominal CT scan. (Hong Kong j.emerg.med. 2014;21:396‐399)