Abstract

OLAVARRIETA, JR Lucena. LESIONES DEL MESENTERIO COMO CONSECUENCIA DEL TRAUMA ABDOMINAL CONTUSO . RFM [online]. 2005, vol.28, n.2, pp.123-128. ISSN 0798-0469.

Objective: To present our experience of mesenteric injuries after blunt abdominal trauma. Patients and Methods: 62 patients with mesenteric injuries out of 666, 42 were diagnosed within 6 hours and in 20 the diagnosis was delayed. Results: The diagnosis was confirmed by diagnostic peritoneal lavage in 34 patients in the group "A" whereas 14 in the group "B" Most of the injuries (n = 46) were caused by road traffic accidents. 58 patients had injured the small bowel mesentery and 4 the large bowel mesentery. There were lower complications in the A group, compared in the B group (p < 0, 0001). Median hospital stay in the A group was 11±1.2 days, compared with 23 ± 2.3 days1) in the B group (P = 0.004). Conclusion: Because delay in diagnosis is significantly associated with morbidity and duration of the hospital stay were recommend that all patients admitted with blunt abdominal trauma should have a diagnostic peritoneal lavage and laparoscopic diagnostic as soon as possible.

Keywords : Blunt abdominal trauma-mesenteric injury; Diagnostic peritoneal lavage; Diagnostic laparoscopy.