Injury or trauma to the stomach can be blunt or penetrating injuries. They cause damage to the abdominal organs causing rigidity, external abdominal bruising, pain and tenderness. Abdominal trauma comes with the risk of infection and blood loss.
The three mechanisms by which blunt abdominal trauma are explained are:
The abdominal cavity is violated due to stab wounds or gunshot wounds. They require different methodologies of treatment.
Injuries to stomach, either blunt or penetrating are uncommon. The most common symptom of stomach injury is peritonitis (abdominal pain, rigidity and in later stages features of sepsis). The investigation of choice for this condition is a CT scan of the abdomen. This shows free gas in the abdominal cavity. Traumatic tear of the stomach requires immediate surgical repair. A small clean tear or hole in the stomach can be repaired by closing it with stitches and keeping a feeding tube to administer enteral feeds. Complex or major tears may require removal of part or the entire stomach, which is a much more major operation.
We manage trauma patients after a thorough consideration of formalities. He observes the mechanism and location of the injury and patient neurological status before administering treatment.Authored by Dr. Deepak Varma, MBBS, MS (General Surgery)
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