ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Diagnostic options for blunt abdominal trauma.
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 40 citations in OpenAlex.
- Two Decades of Evolution in Abdominal Trauma Surgery: Trends, Outcomes, and Implications From an Australian Level 1 Trauma Centre.ANZ journal of surgery · 2026Article
- An artificial intelligence-based semi-quantitative diagnostic model for intra-abdominal hemorrhage based on focused assessment with sonography for trauma: A large animal experimental study.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- [Detection and emergency management of visceral injuries after abdominal trauma : Hollow organ and mesenteric injuries-keep in mind].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Clinical assessment versus radiological investigations: Predictive accuracy for intra-abdominal injury after blunt trauma.Bioinformation · 2026Article
- Trends of incidence, management and outcome of renal trauma in Germany (2008-2022): an analysis based on the TraumaRegister DGU®.World journal of urology · 2025Article
- An Exploration of Challenges in Routine Emergency Care With Delayed Presentations of Blunt Abdominal Trauma.Cureus · 2025Article
- Non-operative approaches to major blunt hepatic (Grade IV): a case report.Journal of medical case reports · 2025Article
- [Deep Learning Reconstruction Algorithm Combined With Smart Metal Artifact Reduction Technique Improves Image Quality of Upper Abdominal CT in Critically Ill Patients].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024Article
- Predictive parameters for early detection of clinically relevant abdominal trauma in multiple-injury or polytraumatised patients: a retrospective analysis.European journal of medical research · 2024Article
- Incidence of intra-abdominal injuries in hemodynamically stable blunt trauma patients with a normal computed tomography scan admitted to the emergency department.BMC emergency medicine · 2024Article
- Management and Outcomes of Traumatic Liver Injury: A Retrospective Analysis from a Tertiary Care Center Experience.Healthcare (Basel, Switzerland) · 2024Article
- ["Stop the bleeding"-Acute bleeding control in injuries to the trunk and extremities].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- Article
- Exercise-induced traumatic muscle injuries with active bleeding successfully treated by embolization: three case reports.Journal of trauma and injury · 2022Article
- Diagnostic Accuracy of AST and ALT for Detecting Liver Injury in Blunt Abdominal Trauma.Journal of emergencies, trauma, and shockArticle
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePhysical examination, laboratory tests, ultrasound, conventional radiography, multislice computed tomography (MSCT), and diagnostic laparoscopy are used for diagnosing blunt abdominal trauma. In this article, we investigate and evaluate the usefulness and limitations of various diagnostic modalities on the basis of a comprehensive review of the literature.
methodsWe searched commonly used databases in order to obtain information about the aforementioned diagnostic modalities. Relevant articles were included in the literature review. On the basis of the results of our comprehensive analysis of the literature and a current case, we offer a diagnostic algorithm.
resultsA total of 86 studies were included in the review. Ecchymosis of the abdominal wall (seat belt sign) is a clinical sign that has a high predictive value. Laboratory values such as those for haematocrit, haemoglobin, base excess or deficit, and international normalised ratio (INR) are prognostic parameters that are useful in guiding therapy. Extended focused assessment with sonography for trauma (eFAST) has become a well established component of the trauma room algorithm but is of limited usefulness in the diagnosis of blunt abdominal trauma. Compared with all other diagnostic modalities, MSCT has the highest sensitivity and specificity. Diagnostic laparoscopy is an invasive technique that may also serve as a therapeutic tool and is particularly suited for haemodynamically stable patients with suspected hollow viscus injuries.
conclusionsMSCT is the gold standard diagnostic modality for blunt abdominal trauma because of its high sensitivity and specificity in detecting relevant intra-abdominal injuries. In many cases, however, clinical, laboratory and imaging findings must be interpreted jointly for an adequate evaluation of a patient's injuries and for treatment planning since these data supplement and complement one another. Patients with blunt abdominal trauma should be admitted for clinical observation over a minimum period of 24 h since there is no investigation that can reliably rule out intra-abdominal injuries.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.