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Forty Years After Blunt Trauma

PRESTON J. BURNHAM, M.D.

AMA Arch Surg. 1953;66(2):167-170.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE LITERATURE contains numerous examples of blunt trauma to the abdomen which has resulted in injuries to all the viscera—not excluding even the gastric vessels¹—but especially to the spleen, liver, kidney, bowel, and diaphragm. Little has been written, however, about delayed effects of the serious crushing injury upon which immediate operation has not been performed.

Spellberg and Ochsner² in seeking a relationship between nonpenetrating trauma to the small bowel and regional enteritis, traumatized the small bowel of dogs at laparotomy by crushing. Autopsy on survivors several months later revealed marked adhesion formation with large ropes of fibrous tissue and compression of the bowel.

The most extensive reference found on the remote sequelae to blunt injury to the bowel is in Küttner's book, "Die Spätschädigungen des Darmes nach stumpfer Bauchverletzung"³ in which the literature is covered up to 1930. In 207 references to abdominal injury, only 21 . . . [Full Text PDF of this Article]

Author Affiliations
SALT LAKE CITY

From the Department of Surgery, St. Mark's Hospital.

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