![]() ![]() read more, sepsis Sepsis and Septic Shock Sepsis is a clinical syndrome of life-threatening organ dysfunction caused by a dysregulated response to infection. Burns are classified by depth (superficial and deep partial-thickness, and full-thickness). Thus, it often develops after laparotomy for severe abdominal injury accompanied by shock but may occur in conditions not primarily affecting the abdomen, such as severe burns Burns Burns are injuries of skin or other tissue caused by thermal, radiation, chemical, or electrical contact. ![]() Other affected organs include theĪbdominal compartment syndrome typically occurs in conditions in which there is both vascular leak and high-volume fluid resuscitation (usually > 10 L). Intestinal ischemia further worsens vascular leakage, causing a vicious cycle. read more, ultimately elevates intra-abdominal pressure (defined as > 20 mm Hg), causing pain and organ ischemia and dysfunction. Diagnosis is based on physical examination and. Symptoms usually result from abdominal distention. The most common cause is portal hypertension. Although there is more room for expansion in the peritoneal cavity than in an extremity, unchecked edema, and occasionally ascites Ascites Ascites is free fluid in the peritoneal cavity. read more, prolonged abdominal surgical procedures, systemic ischemia-reperfusion injury, or the systemic inflammatory response syndrome ) causes tissue edema within the abdomen. Mechanisms may involve decreased circulating volume, decreased cardiac output, and vasodilation, sometimes. In abdominal compartment syndrome, mesenteric and intestinal capillary leakage (eg, due to shock Shock Shock is a state of organ hypoperfusion with resultant cellular dysfunction and death. The earliest symptom is pain out of proportion to the severity of injury. Intestinal wall hematomas rarely can cause intestinal stricture, typically months to years later, although there are case reports of bowel obstruction as early as 2 weeks after blunt trauma.Ībdominal compartment syndrome is analogous to extremity compartment syndrome Compartment Syndrome Compartment syndrome is increased tissue pressure within a closed fascial space, resulting in tissue ischemia. Intestinal wall hematomas sometimes perforate, typically within 48 to 72 hours after injury, releasing intestinal contents and causing peritonitis, but without causing significant hemorrhage. read more may rupture, typically in the first few days after injury (although sometimes up to months later), sometimes causing significant delayed hemorrhage. Diagnosis is made by CT or ultrasonography. Patients have abdominal pain, sometimes radiating to the shoulder, and tenderness. read more and, less often, hepatic hematomas Hepatic Injury Hepatic injury can result from blunt or penetrating trauma. Patients often have abdominal pain, sometimes radiating to the shoulder, and tenderness. Splenic hematomas Splenic Injury Splenic injury usually results from blunt abdominal trauma. Hematomas typically resolve spontaneously over several days to months, depending on the size and location.
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