Abdominal trauma
| Classification according to ICD-10 | |
|---|---|
| S30.- | Superficial injury to the abdomen, lower back and pelvis |
| S31.- | Open wound of the abdomen, lower back and pelvis |
| S35.- | Injury to blood vessels at the level of the abdomen, lumbosacral region and pelvis |
| S36.- | Injury to intra-abdominal organs |
| ICD-10 online (WHO version 2019) | |
An abdominal trauma , including abdominal trauma called, is a violation of the belly ( abdomen ). A distinction is made between the more frequent blunt and the more rarely perforating abdominal trauma .
Blunt abdominal trauma
In traffic accidents , the impact on the steering column or the like occurs. usually a blunt abdominal trauma. Being run over by a vehicle ( rollover trauma) also often leads to blunt abdominal trauma.
Perforating abdominal trauma
Stab wounds in the abdomen are a common cause of perforating abdominal trauma. In accidents with classic cars , perforating injuries are more common than with newer vehicles due to the lower safety standards .
Organ injuries
Abdominal trauma can very quickly lead to life-threatening shock due to high internal blood loss , in the case of a rupture of the spleen ( spleen rupture ) or, less frequently, of the liver ( liver rupture ) or the pancreas ( pancreas ) . In the event of injuries to the hollow organs , for example the intestine , inflammation of the abdominal cavity ( peritonitis ) can develop, which can also become life-threatening if it leads to sepsis .
Abdominal trauma in pregnancy
The leading cause of death in women of reproductive age is a traumatic event. During pregnancy , trauma accounts for 20% of non- obstetric causes of death. This mainly includes traffic accidents , falls and physical attacks . Due to the anatomical changes, the uterus and bladder in particular are injured more frequently, while intestinal injuries occur less frequently. The fetus is rarely injured directly because it is well protected by the uterus and amniotic fluid . In spite of this, premature placenta detachment can lead to intrauterine fetal death .
Possible injuries:
- premature placental detachment
- Urinary tract injuries
- Uterine rupture and direct fetal injury especially in pelvic fractures
literature
- K. Knizia: Surgery of the musculoskeletal system. (PDF; 412 kB) November 2004, p. 7.
Individual evidence
- ↑ Henning Schneider , Peter-Wolf Husslein , Karl-Theo M. Schneider (Ed.): Die obstetrics. 4th edition. Springer Verlag, Berlin / Heidelberg 2011, ISBN 978-3-642-12973-5 .
