Abstract
Successful Non-Operative Management of Multi-Trauma Patient Suffering from Multiple Intra-Abdominal Injuries - A Case Report
Highlights
Trauma is the leading cause of death in people under the age of 35 worldwide [1]
We report the case of a 25-year-old patient with blunt abdominal trauma (BAT) suffering multiple injuries of the spleen and liver, pelvic fracture and right femur fracture who has been successfully treated through non-operative management (NOM)
Whole-body contrast enhanced Computed Tomography (WBCT) is an important adjunct in trauma care that is part of the standard protocol in initial assessment of stable or post-resuscitation stabilized trauma patients scheduled for NOM [6]
Summary
Trauma is the leading cause of death in people under the age of 35 worldwide [1]. Abdominal injuries occur in 31% of polytrauma patients, among whom 13% suffer liver, 16% spleen and 28% pelvic injuries [2]. Until the 90s, the operative management (OM) was the golden standard of treatment for trauma patients with abdominal bleeding. Over the last few decades, though, a shift has been made from operative to non-operative management (NOM) in haemodynamically stable trauma patients with findings of recent intra-abdominal bleeding and no signs of peritonitis.
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