Abdominal Trauma : Never Underestimate It

Abstract EN

Introduction.

We present a case of a sports injury.

The initial presentation and clinical examination belied serious intra-abdominal injuries.

Case Presentation.

A 16-year-old male patient came to emergency department after a sports-related blunt abdominal injury.

Though on clinical examination the injury did not seem to be serious, FAST revealed an obscured splenorenal window.

The CT scan revealed a large left renal laceration and a splenic laceration that were managed with Cook coil embolization.

Patient remained tachycardic though and had to undergo splenectomy, left nephrectomy, and a repair of left diaphragmatic rent.

Patient had no complication and had normal renal function at 6-month followup.

Conclusion.

The case report indicates that management of blunt intra-abdominal injury is complicated and there is a role for minimally invasive procedures in management of certain patients.

A great deal of caution is required in monitoring these patients, and surgical intervention is inevitable in deteriorating patients.