ArticleTrauma case reports2025
Serial FAST scans reveal delayed mesenteric injury in a polytrauma patient: A case report.
Article in Trauma case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Focused Assessment with Sonography for Trauma (FAST) is a cornerstone in the early assessment of trauma patients. However, a negative initial FAST does not always rule out intra-abdominal injury. Case presentation: A middle-aged male presented to the ED following a motor vehicle collision. Both FAST and CT scans were initially negative for significant intra-abdominal injury. He was clinically stable and prepared for transfer to a trauma center. Repeat assessment due to subtle hypotension revealed free fluid on a repeat FAST. Emergent laparotomy identified a mesenteric tear with ischemic bowel, requiring resection. Conclusion: This case illustrates the diagnostic limitations of a single FAST scan. Serial FAST examinations can reveal evolving injuries and should be considered in trauma protocols, especially in patients with changing clinical status.
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