Traumatisches akutes Abdomen

Gaeble, A.; Mueck, F.; Muehlmann, M. und Wirth, S. (2019): Traumatisches akutes Abdomen. In: Radiologe, Bd. 59, Nr. 2: S. 139-145

Abstract

BackgroundIn patients with multiple trauma, abdominal involvement is a particularly relevant injury pattern. Depending on the intensity and manner of injury, heterogeneous but often typical organ manifestations result. Knowledge of these injury patterns is essential for targeted diagnostics and treatment.ObjectiveThis review provides apresentation of typical forms of abdominal injury with appropriate radiological techniques and where applicable treatment.Material and methodsExperiences and case examples from asupraregional trauma center are presented and discussed with the results of aMedline literature search and relevant parts of the german S3 guidelines on polytrauma.ResultsTraumatic abdominal injuries are subdivided into blunt and penetrating injuries. Among these groups, blunt trauma with splenic injury being most frequent followed by liver and kidney involvement. In penetrating abdominal injuries hollow visceral organs are most frequently affected. For diagnosis, ultrasound and with escalating injury severity, multidetector computed tomography (MDCT) are the most important methods. For years there has been an ongoing trend towards conservative management and interventional hemorrhage control. This is driven by improvements in imaging that enable amore precise classification and indications for subsequent treatment.ConclusionProgress in radiology has led to an increasingly more important role for radiology in the management of traumatic abdominal injury. Therefore, it is crucial for the radiologist to gain interdisciplinary knowledge of the relevant trauma mechanisms and injury patterns of the severely injured patient in order to provide atreatment process that provides the optimal outcome.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0033-832X
• Sprache: Deutsch