VASCULAR INJURIES IN ABDOMINAL TRAIJMA

Abstract

Trauma is a serious health problem. It is the leading cause of morality and disability during the 1st four decades of life and the third most common cause of death overall. >- The spectrum of injury ranges from trivial to the

catastrophic and the initial assessment, resuscitation and investigation of a patient with abdominal trauma must be individualized. >- Assessment and management of patients with trauma

remains a challenge for emergency surgeon. >- Accurate diagnosis and prevention of unneeded surgery is important goal in the patient management. >- Major haemorrhage with resultant hypotension is the

hallmark of central, large vessel injury. >- The clinical features suggesting injuries of the great vessels.

• Cardiac arrest

• Persistent shock

• Cardiac tamponade

• Wide mediastinum

• Recurring hemothorax