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Case Reports in Emergency Medicine
Volume 2011 (2011), Article ID 850625, 2 pages
Case Report

Abdominal Trauma: Never Underestimate It

1Department of Emergency Medicine, University of Florida College of Medicine, Gainesville, FL 32610, USA
2Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA

Received 16 July 2011; Accepted 9 August 2011

Academic Editors: P. Del Rio, G. Di Vella, E. Kagawa, and V. Papadopoulos

Copyright © 2011 Aakash N. Bodhit et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. We present a case of a sports injury. The initial presentation and clinical examination belied serious intra-abdominal injuries. Case Presentation. A 16-year-old male patient came to emergency department after a sports-related blunt abdominal injury. Though on clinical examination the injury did not seem to be serious, FAST revealed an obscured splenorenal window. The CT scan revealed a large left renal laceration and a splenic laceration that were managed with Cook coil embolization. Patient remained tachycardic though and had to undergo splenectomy, left nephrectomy, and a repair of left diaphragmatic rent. Patient had no complication and had normal renal function at 6-month followup. Conclusion. The case report indicates that management of blunt intra-abdominal injury is complicated and there is a role for minimally invasive procedures in management of certain patients. A great deal of caution is required in monitoring these patients, and surgical intervention is inevitable in deteriorating patients.