BLUNT nonpenetrating trauma to the abdomen, mild or severe, may eventuate in a serious emergency. Associated injuries, usually fractures, are commonplace. The likelihood of a concealed viscus rupture always presents a challenging problem. The sudden acquisition of such a case initiates a great responsibility, is almost certain to dislocate routine practice, and will demand maximum attendance with repeated observations. In reaching a prompt diagnosis, a preconceived composite picture of the potential lesions should be in a surgeon's mind; to accomplish early treatment an orderly program of complete investigation should immediately be instituted. Delayed therapy rapidly accelerates morbidity and mortality.
Modern motorization makes each of us a potential victim, giving this matter more than academic interest. Motor vehicles lead as the source of injury, as seen from the following tabulation:
Aviation accidents are not reported, since the majority are immediately fatal. Since half the traumas producing viscus rupture are automotive in
COTTRELL JC. NONPERFORATIVE TRAUMA TO ABDOMEN. AMA Arch Surg. 1954;68(2):241–251. doi:10.1001/archsurg.1954.01260050243012
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