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Blunt Abdominal Trauma

Ribcage and abdominal organs: Liver, gallbladder, small intestine, colon, stomach, spleen, and pancreas (behind stomach).

Your abdomen extends from just below your chest to the top of your pelvis. It contains a number of vital organs, including your spleen, liver, pancreas, and stomach. These organs can be injured by the impact from a car accident or fall. Injury from a force that doesn’t break your skin to penetrate your body is known as blunt trauma.

When to Go to the Emergency Department (ED)

Injury to your abdomen can be very serious. For that reason, a person with blunt abdominal trauma should be taken to the ED by trained medical personnel. The effects of blunt trauma often don’t appear right away, so it’s important to see a doctor after a hard blow to the abdomen, even if you feel okay.

What to Expect in the ED

Your breathing and pulse will be checked, and you are likely to be given oxygen. You also will be examined carefully for injuries. Severe trauma may require immediate surgery. Otherwise, you will be watched closely for a time.You may also need to have one or more tests to determine the extent of your injuries. These may include the following:

  • Blood or urine tests require a sample of the blood or urine to be taken and checked for problems.

  • X-rays use electromagnetic radiation to take pictures of inside the body.

  • Computed tomography (CT) combines x-rays and computer scans. This provides a detailed picture that can show problems with organs such as your kidneys, spleen, liver, and stomach.

  • Ultrasound uses radio waves to produce images of the organs in your abdomen.

  • Diagnostic peritoneal lavage (DPL) checks fluid from your abdomen for signs of blood or infection.

Based on the test results, you may be admitted to the hospital. Or you may have further care in the ER.

When to Call Your Doctor

After treatment, call your doctor if you notice any of these symptoms:

  • Increased pain or swelling in your abdomen

  • Nausea or vomiting

  • Weakness or fainting

  • Blood in your stool or urine

 

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