The management of stab wounds to the back

The management of stab wounds to the back

The management of stab wounds to the back is controversial. There are certain clear indications for exploratory laparotomy, but most cases require a diagnostic workup and a period of observation. In this article, different diagnostic modalities are presented, including local wound exploration, diagn...

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Veröffentlicht in:The Journal of emergency medicine 1999-05, Vol.17 (3), p.497-502
1. Verfasser: Kahn, Joseph H
Format: Artikel
Sprache:eng
Schlagworte:
back
Back Injuries - diagnosis
Biological and medical sciences
Humans
Injuries of the abdomen. Foreign bodies of the digestive system
Laparotomy
Medical sciences
Miscellaneous
penetrating trauma
Peritoneal Lavage
Radiography, Abdominal
stab wound
Tomography, X-Ray Computed - methods
trauma
Traumas. Diseases due to physical agents
Urography
Wounds, Stab - diagnosis
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Beschreibung
Zusammenfassung:The management of stab wounds to the back is controversial. There are certain clear indications for exploratory laparotomy, but most cases require a diagnostic workup and a period of observation. In this article, different diagnostic modalities are presented, including local wound exploration, diagnostic peritoneal lavage, abdominal computed tomography (CT) scan, triple-contrast abdominal CT scan, and intravenous pyelography (IVP). Recommendations for management are given, with emphasis on abdominal CT scan and observation.
ISSN:0736-4679
2352-5029
DOI:10.1016/S0736-4679(99)00026-8