Open AccessTraumatic haemoperitoneum – some practical aspects in emergency
Author(s) -
Dragoş Şerban,
C Şavlovschi,
C Brănescu,
Ahed El Khatib,
Corneliu Tudor,
Adriana Sarah Nica,
G Vancea,
Ana Maria Dascălu
Publication year - 2016
Publication title -
romanian medical journal
Language(s) - English
Resource type - Journals
eISSN - 2069-606X
pISSN - 1220-5478
DOI - 10.37897/rmj.2016.1.14
Subject(s) - medicine , paracentesis , abdominal trauma , diagnostic peritoneal lavage , retrospective cohort study , ultrasound , general surgery , emergency ultrasound , surgical emergency , focused assessment with sonography for trauma , ascites , laparotomy , surgery , radiology , blunt
This paper presents a retrospective study conducted from December 2014 – December 2015 on patients admitted in emergency in our clinic for traumatic haemoperitoneum. We have analyzed the causes of production, the most common organs affected, the paraclinical investigations and surgical management of these cases. Abdominal ultrasound in emergency and, in selected cases, abdominal CT imaging tests are reliable and largely replaced peritoneal paracentesis. The most common injuries had affected liver (38.7%) and spleen (28.73%). Surgical exploration should be careful, often coexisting pathologies requiring multiple surgical solving.