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Am J Surg. 2009 Mar;197(3):413-7. doi: 10.1016/j.amjsurg.2008.11.015.

Abdominal wall injuries occurring after blunt trauma: incidence and grading system.

Author information

1
Department of Surgery, University of Oklahoma, College of Medicine, Oklahoma City, OK, USA.

Abstract

BACKGROUND:

Traumatic abdominal wall injuries (AWIs) are being increasingly recognized after blunt force injury.

METHODS:

All available abdominal/pelvic computed axial tomography (CAT) scans of blunt trauma patients evaluated at our level I trauma center from January 2005 to August 2006 were reviewed for the presence of AWI. AWI was graded using a severity-based numeric system. AWI grade was then compared with variables from a prospectively maintained trauma registry.

RESULTS:

Of 1,549 reviewed CAT scans, 9% showed AWI (grade I = 53%, grade II = 28%, grade III = 9%, grade IV = 8%, and grade V = 2%). There was no association between AWI and seatbelt use, Injury Severity Score, weight, or need for abdominal surgery.

CONCLUSIONS:

AWI occurs in 9% of blunt trauma patients undergoing abdominal/pelvic CAT scans. The incidence of herniation on CAT at presentation after blunt trauma is .2%, and the incidence of patients at risk of future hernia formation is 1.5%. AWI can be effectively cataloged using a straightforward numeric grading system.

PMID:
19245925
DOI:
10.1016/j.amjsurg.2008.11.015
[Indexed for MEDLINE]

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