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Abdominal Trauma

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Acute Abdomen During Pregnancy

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Abstract

Abdominal trauma is one of the most complex scenarios in emergency abdominal surgery during pregnancy. General classification on blunt and penetrating trauma helps in the diagnostic pathway and therapeutic management. Penetrating trauma most commonly includes growing uterus and the fetus which act as a shield for maternal intra-abdominal organs. In such cases, especially stab wounds, the maternal outcome is excellent. The fetal outcome depends on the underlying fetal, amniotic, and uterine injuries. Significant injury to abdominal organs after blunt trauma is more difficult to diagnose and treat. All maternal abdominal organs could be injured, and injuries are sometimes difficult to diagnose early, especially when clinicians are reluctant to use abdominal CT during pregnancy. Blunt abdominal trauma carries a risk of injury to both reproductive organs (uterine rupture, placental abruption) and digestive tract (hepatic or splenic rupture, intestinal perforation). Therefore, interdisciplinary approach which includes an abdominal surgeon and a gynecologist during diagnostic workup, as well as therapeutic management, is critical to optimize maternal and fetal outcome.

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  1. School of Medicine University of Zagreb, Zagreb, Croatia

    Goran Augustin

  2. Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia

    Goran Augustin

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Augustin, G. (2018). Abdominal Trauma. In: Acute Abdomen During Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-319-72995-4_10

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