{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T14:48:12Z","timestamp":1782744492170,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Isolated perforations of hollow viscus (HV) represent less than 1% of injuries in blunt abdominal trauma (BAT). When they do present, they are generally due to high\u2010impact mechanisms in the segments of the intestine that are fixed. The aim of this study is to determine the incidence of major HV injuries in BAT at the \u201cDr. Domingo Luciani\u201d General Hospital (HDL), and address the literature gap regarding updated HV perforations following BAT, especially in low\u2010income settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was conducted on the medical records of patients admitted to our trauma center with a diagnosis of complicated BAT with HV perforation over 14\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results and Discussion<\/jats:title><jats:p>Seven hundred sixty\u2010one patients were admitted under the diagnosis of BAT. Of them, 36.79% underwent emergency surgical resolution, and 6.04% had HV perforation as an operative finding. Almost half (44.44%) of these cases presented as a single isolated injury, while the remaining were associated with other intra\u2010abdominal organ injuries. The most common lesions were Grade II\u2010III jejunum and Grade I transverse colon, affecting an equal proportion of patients at 13.33%. In recent years, an increased incidence of HV injuries secondary to BAT has been observed. Despite this, in many cases, the diagnosis is delayed, so even in the presence of negative diagnostic studies, the surgical approach based on the trauma mechanism, hemodynamic status, and systematic reevaluation of the polytraumatized patient should prevail.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12096","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T12:05:11Z","timestamp":1707912311000},"page":"855-862","source":"Crossref","is-referenced-by-count":3,"title":["Hollow viscus perforation in blunt abdominal trauma: A 14\u2010year experience from a trauma center"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3887-7097","authenticated-orcid":false,"given":"Veronica I.","family":"Rodriguez","sequence":"first","affiliation":[{"name":"Department of General Surgery Hospital General del Este \u201cDr. Domingo Luciani\u201d Universidad Central de Venezuela  Caracas Venezuela"},{"name":"Catherine and Joseph Aresty Department of Urology Keck Medicine of USC  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Perez","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital General del Este \u201cDr. Domingo Luciani\u201d Universidad Central de Venezuela  Caracas Venezuela"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital General del Este \u201cDr. Domingo Luciani\u201d Universidad Central de Venezuela  Caracas Venezuela"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristopher","family":"Varela","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital General del Este \u201cDr. Domingo Luciani\u201d Universidad Central de Venezuela  Caracas Venezuela"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Teran","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital General del Este \u201cDr. Domingo Luciani\u201d Universidad Central de Venezuela  Caracas Venezuela"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010198502000\u201000011"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2016.04.007"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000046261.06976.6a"},{"key":"e_1_2_10_5_1","first-page":"15","volume-title":"Manejo Del Paciente Politraumatizado","author":"Ottolino P.","year":"2017"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1942.02830010013003"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010199710000\u201000009"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0020\u20101383(02)00048\u20107"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010200203000\u201000022"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058\u20105241.5.190090"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010200003000\u201000007"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010199606000\u201000004"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010012\u20101798\u20103"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000046256.80836.aa"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010018\u20100902\u20102"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00063110\u2010199606000\u201000005"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010012\u20101458\u20107"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carj.2015.11.006"},{"issue":"4","key":"e_1_2_10_19_1","first-page":"156","article-title":"Characteristics of Hollow Viscus Injury Following Blunt Abdominal Trauma; a Single Centre Experience from Eastern India","volume":"2","author":"Jha N. 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