Abdominal Wall Trauma


Background
  1. Injury to abdominal wall
  2. Commonly missed diagnosis

Pathophysiology

  1. Injury mechanism:
  2. Anatomy
  3. Morbidity, mortality
  4. Incidence, prevalence:
  5. Risk factors

Diagnostics

  1. History
  2. Symptoms
  3. Physical exam (perform serial exams)
  4. Diagnostic testing
  5. Diagnostic imaging

Differential Diagnosis

  1. Anterior abd. wall hernia
  2. Diaphragmatic hernia
  3. Perforated abdominal viscus
  4. Splenic trauma
  5. Hepatic trauma
  6. Pancreatic trauma
  7. Kidney trauma
  8. Pelvic fracture

Treatment

  1. ATLS as usual
  2. FAST scan / DPL
  3. NG tube / foley PRN
  4. Hemodynamic stability
      • CT scan for internal injuries
  5. Rectus sheath hematoma:
  6. Further management

Disposition

  1. Admit if
  2. Discharge if: