Abdominal injuries may be life threatening and should be approached cautiously. After trauma, the abdomen may be sanctuary for occult bleeding that, if not discovered and corrected expeditiously, may lead to deleterious consequences. Patients with abdominal trauma should have rapid assessment, stabilization, and early surgical consultation to maximize the chances of a successful outcome. Deaths from abdominal trauma result principally from hemorrhage or sepsis. Most deaths from abdominal trauma are preventable. Patients at risk of abdominal injury should undergo prompt and thorough evaluation. In some cases, dramatic physical findings may be due to abdominal wall injury in the absence of intraperitoneal injury. If the results of diagnostic studies are equivocal, diagnostic laparoscopy or exploratory laparotomy should be considered, since they may be lifesaving if serious injuries are identified early.
Part of the book: Trauma Surgery