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Background: Analyze the determining factors of morbility and mortality in a series of patients with clinically relevant in missed injuries. Study design: Retrospective study, during the period of 1999 to 2008, Maciel Hospital, Montevideo, Uruguay. The analyzed variables were: age, gender, injury mechanism, topography, time of diagnostic delay, complications, compromised organs and mortality. We undertook a comparative study of penetrating versus blunt trauma. Results: Twelve patients were reported, all males, mean age of 29 years with a time of diagnostic delay of 5.6 days for blunt trauma and 3.5 for penetrating trauma. The organs that were mainly compromised were the duodenum, pancreas and colon. An increased frequency in diagnostic delay and mortality was associated with blunt trauma according to the Fischer’s exact test. Conclusion: The delay in the diagnosis, the high energy impact injuries, as well as the inadequate surgical exploration are the determining factors for the presence of complications and mortality due to in adverted injuries.

Lesiones Inadvertidas en Trauma Abdominal. Análisis del Trauma Abierto y Cerrado. 12 Casos en el Periodo 1999-2008