{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T04:47:47Z","timestamp":1769834867429,"version":"3.49.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1007\/s00113-025-01673-9","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T18:47:00Z","timestamp":1767984420000},"page":"104-110","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Detektion und Notfallmanagement von viszeralchirurgischen Verletzungen bei Bauchtrauma","Detection and emergency management of visceral injuries after abdominal trauma"],"prefix":"10.1007","volume":"129","author":[{"given":"Jasmin Monika Martina","family":"Schmitt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan Friso","family":"Lock","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich","family":"Anger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"1673_CR1","volume-title":"Jahresbericht 2024 \u2013 TraumaRegister DGU f\u00fcr das Unfalljahr 2023","author":"Sektion Notfall- & Intensivmedizin & Schwerverletzenversorgung der Deutschen Gesellschaft f\u00fcr Unfallchirurgie e. V.","year":"2024","unstructured":"Sektion Notfall- & Intensivmedizin & Schwerverletzenversorgung der Deutschen Gesellschaft f\u00fcr Unfallchirurgie e. V. (2024) Jahresbericht 2024 \u2013 TraumaRegister DGU f\u00fcr das Unfalljahr 2023. AUC \u2013 Akademie der Unfallchirurgie"},{"issue":"1","key":"1673_CR2","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1186\/s40001-024-01969-3","volume":"29","author":"S Fabig","year":"2024","unstructured":"Fabig\u00a0S et\u00a0al (2024) Predictive parameters for early detection of clinically relevant abdominal trauma in multiple-injury or polytraumatised patients: a\u00a0retrospective analysis. Eur J Med Res 29(1):394. https:\/\/doi.org\/10.1186\/s40001-024-01969-3","journal-title":"Eur J Med Res"},{"issue":"1","key":"1673_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13017-022-00418-y","volume":"17","author":"L Smyth","year":"2022","unstructured":"Smyth\u00a0L et\u00a0al (2022) WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment. World J Emerg Surg 17(1):1\u201315. https:\/\/doi.org\/10.1186\/s13017-022-00418-y","journal-title":"World J Emerg Surg"},{"issue":"2","key":"1673_CR4","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/s00113-017-0456-5","volume":"121","author":"CEM Pothmann","year":"2018","unstructured":"Pothmann\u00a0CEM et\u00a0al (2018) Abdominalverletzungen des polytraumatisierten Erwachsenen. Unfallchirurg 121(2):159\u2013173. https:\/\/doi.org\/10.1007\/s00113-017-0456-5","journal-title":"Unfallchirurg"},{"issue":"1","key":"1673_CR5","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1097\/TA.0b013e3181db37f5","volume":"69","author":"DJ Malinoski","year":"2010","unstructured":"Malinoski\u00a0DJ et\u00a0al (2010) A\u00a0diagnostic delay of 5\u00a0hours increases the risk of death after blunt hollow viscus injury. J\u00a0Trauma Inj Infect Crit Care 69(1):84\u201387. https:\/\/doi.org\/10.1097\/TA.0b013e3181db37f5","journal-title":"J Trauma Inj Infect Crit Care"},{"key":"1673_CR6","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1007\/s10039-004-0850-4","volume":"6","author":"A Woltmann","year":"2004","unstructured":"Woltmann\u00a0A, Trentz\u00a0O (2004) Abdominalverletzungen. Trauma Berufskrankh 6:73\u201383. https:\/\/doi.org\/10.1007\/s10039-004-0850-4","journal-title":"Trauma Berufskrankh"},{"issue":"4","key":"1673_CR7","first-page":"156","volume":"2","author":"NK Jha","year":"2014","unstructured":"Jha\u00a0NK et\u00a0al (2014) Characteristics of hollow viscus injury following blunt abdominal trauma; a\u00a0single centre experience from eastern India. Bull Emerg Trauma 2(4):156\u2013160","journal-title":"Bull Emerg Trauma"},{"issue":"10","key":"1673_CR8","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1007\/s00104-017-0492-2","volume":"88","author":"JF Lock","year":"2017","unstructured":"Lock\u00a0JF, Anger\u00a0F, Germer\u00a0CT (2017) Vorgehen bei traumatischen Darmverletzungen bei MANV. Chirurg 88(10):848\u2013855. https:\/\/doi.org\/10.1007\/s00104-017-0492-2","journal-title":"Chirurg"},{"issue":"4","key":"1673_CR9","first-page":"6154","volume":"8","author":"N Iflazoglu","year":"2015","unstructured":"Iflazoglu\u00a0N, Ureyen\u00a0O, Oner\u00a0OZ, Tusat\u00a0M, Akcal\u00a0MA (2015) Complications and risk factors for mortality in penetrating abdominal firearm injuries: analysis of 120 cases. Int J Clin Exp Med 8(4):6154\u20136162","journal-title":"Int J Clin Exp Med"},{"issue":"12","key":"1673_CR10","doi-asserted-by":"publisher","first-page":"1445","DOI":"10.1016\/j.ijom.2014.07.013","volume":"43","author":"PK Stefanopoulos","year":"2014","unstructured":"Stefanopoulos\u00a0PK, Filippakis\u00a0K, Soupiou\u00a0OT, Pazarakiotis\u00a0VC (2014) Wound ballistics of firearm-related injuries\u2014Part\u00a01: Missile characteristics and mechanisms of soft tissue wounding. Int J Oral Maxillofac Surg 43(12):1445\u20131458. https:\/\/doi.org\/10.1016\/j.ijom.2014.07.013","journal-title":"Int J Oral Maxillofac Surg"},{"issue":"1","key":"1673_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13049-021-00895-1","volume":"29","author":"D Bieler","year":"2021","unstructured":"Bieler\u00a0D, Kollig\u00a0E, Hackenberg\u00a0L, Rathjen\u00a0J, Lefering\u00a0R, Franke\u00a0A (2021) Penetrating injuries in Germany\u2014epidemiology, management and outcome an analysis based on the TraumaRegister DGU. Scand J Trauma Resusc Emerg Med 29(1):1\u201314. https:\/\/doi.org\/10.1186\/s13049-021-00895-1","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"2","key":"1673_CR12","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s00068-018-0911-1","volume":"45","author":"P Malkomes","year":"2019","unstructured":"Malkomes\u00a0P et\u00a0al (2019) Characteristics and management of penetrating abdominal injuries in a\u00a0German level\u00a0I trauma center. Eur J Trauma Emerg Surg 45(2):315\u2013321. https:\/\/doi.org\/10.1007\/s00068-018-0911-1","journal-title":"Eur J Trauma Emerg Surg"},{"key":"1673_CR13","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/5215977","author":"Y Liu","year":"2024","unstructured":"Liu\u00a0Y et\u00a0al (2024) Comparison of clinical characteristics, therapy, and short-term prognosis between blunt and penetrating abdominal trauma: a\u00a0multicentric retrospective cohort study. Emerg Med Int. https:\/\/doi.org\/10.1155\/2024\/5215977","journal-title":"Emerg Med Int"},{"issue":"2","key":"1673_CR14","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1097\/SLA.0b013e318180a3f7","volume":"248","author":"M Bala","year":"2008","unstructured":"Bala\u00a0M et\u00a0al (2008) Abdominal trauma after terrorist bombing attacks exhibits a\u00a0unique pattern of injury. Ann Surg 248(2):303\u2013309. https:\/\/doi.org\/10.1097\/SLA.0b013e318180a3f7","journal-title":"Ann Surg"},{"issue":"6","key":"1673_CR15","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1097\/TA.0000000000000650","volume":"78","author":"J Rostas","year":"2015","unstructured":"Rostas\u00a0J, Cason\u00a0B, Simmons\u00a0J, Frotan\u00a0MA, Brevard\u00a0SB, Gonzalez\u00a0RP (2015) The validity of abdominal examination in blunt trauma patients with distracting injuries. J\u00a0Trauma Acute Care Surg 78(6):1095\u20131100. https:\/\/doi.org\/10.1097\/TA.0000000000000650","journal-title":"J Trauma Acute Care Surg"},{"issue":"10","key":"1673_CR16","first-page":"885","volume":"63","author":"CF Chandler","year":"1997","unstructured":"Chandler\u00a0CF, Lane\u00a0JS, Waxman\u00a0KS (1997) Seatbelt sign following blunt trauma is associated with increased incidence of abdominal injury. Am Surg 63(10):885\u2013888","journal-title":"Am Surg"},{"issue":"2","key":"1673_CR17","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1097\/01.TA.0000046256.80836.AA","volume":"54","author":"SM Fakhry","year":"2003","unstructured":"Fakhry\u00a0SM, Watts\u00a0DD, Luchette\u00a0FA (2003) Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: Analysis from 275,557 trauma admissions from the East multi-institutional HVI trial. J\u00a0Trauma Inj Infect Crit Care 54(2):295\u2013306. https:\/\/doi.org\/10.1097\/01.TA.0000046256.80836.AA","journal-title":"J Trauma Inj Infect Crit Care"},{"issue":"1","key":"1673_CR18","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1016\/j.injury.2021.07.026","volume":"53","author":"M Wandling","year":"2022","unstructured":"Wandling\u00a0M et\u00a0al (2022) Multi-center validation of the Bowel Injury Predictive Score (BIPS) for the early identification of need to operate in blunt bowel and mesenteric injuries. Injury 53(1):122\u2013128. https:\/\/doi.org\/10.1016\/j.injury.2021.07.026","journal-title":"Injury"},{"key":"1673_CR19","series-title":"AWMF-Register-Nr.: 187-023","volume-title":"S3-Leitlinie Polytrauma\/Schwerverletzten-Behandlung","author":"D. G. f\u00fcr Unfallchirurgie","year":"2022","unstructured":"D. G. f\u00fcr Unfallchirurgie (2022) S3-Leitlinie Polytrauma\/Schwerverletzten-Behandlung. AWMF-Register-Nr.: 187-023"},{"issue":"5","key":"1673_CR20","doi-asserted-by":"publisher","first-page":"3575","DOI":"10.1007\/s00068-020-01405-1","volume":"48","author":"G Achatz","year":"2022","unstructured":"Achatz\u00a0G et\u00a0al (2022) Diagnostic options for blunt abdominal trauma. Eur J Trauma Emerg Surg 48(5):3575\u20133589. https:\/\/doi.org\/10.1007\/s00068-020-01405-1","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"1673_CR21","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/j.amjsurg.2018.08.018","volume":"218","author":"H Abdel-Aziz","year":"2019","unstructured":"Abdel-Aziz\u00a0H, Dunham\u00a0CM (2019) Effectiveness of computed tomography scanning to detect blunt bowel and mesenteric injuries requiring surgical intervention: A\u00a0systematic literature review. Am J Surg 218(1):201\u2013210. https:\/\/doi.org\/10.1016\/j.amjsurg.2018.08.018","journal-title":"Am J Surg"},{"issue":"02","key":"1673_CR22","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1055\/a-0851-4551","volume":"19","author":"SFU Blum","year":"2019","unstructured":"Blum\u00a0SFU et\u00a0al (2019) Chirurgie und Bildgebung bei Abdominaltrauma. Radiol Up2date 19(02):167\u2013216. https:\/\/doi.org\/10.1055\/a-0851-4551","journal-title":"Radiol Up2date"},{"issue":"6","key":"1673_CR23","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1016\/j.crad.2014.01.021","volume":"69","author":"I Khan","year":"2014","unstructured":"Khan\u00a0I, Bew\u00a0D, Elias\u00a0DA, Lewis\u00a0D, Meacock\u00a0LM (2014) Mechanisms of injury and CT findings in bowel and mesenteric trauma. Clin Radiol 69(6):639\u2013647. https:\/\/doi.org\/10.1016\/j.crad.2014.01.021","journal-title":"Clin Radiol"},{"issue":"12","key":"1673_CR24","doi-asserted-by":"publisher","first-page":"3620","DOI":"10.1007\/s00330-015-3771-7","volume":"25","author":"C Faget","year":"2015","unstructured":"Faget\u00a0C et\u00a0al (2015) Value of CT to predict surgically important bowel and \/ or mesenteric injury in blunt trauma : performance of a\u00a0preliminary scoring system. Eur Radiol 25(12):3620\u20133628. https:\/\/doi.org\/10.1007\/s00330-015-3771-7","journal-title":"Eur Radiol"},{"issue":"6","key":"1673_CR25","doi-asserted-by":"publisher","first-page":"354","DOI":"10.4103\/singaporemedj.SMJ-2022-023","volume":"65","author":"HL Wong","year":"2024","unstructured":"Wong\u00a0HL, Shi\u00a0H, Teoh\u00a0WC, Liu\u00a0JJ (2024) Bowel and mesenteric injuries in blunt abdominal injury. Singap Med\u00a0J 65(6):354\u2013359. https:\/\/doi.org\/10.4103\/singaporemedj.SMJ-2022-023","journal-title":"Singap Med J"},{"key":"1673_CR26","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.ijsu.2016.08.524","volume":"34","author":"S Hajibandeh","year":"2016","unstructured":"Hajibandeh\u00a0S, Hajibandeh\u00a0S, Gumber\u00a0AO, Wong\u00a0CS (2016) Laparoscopy versus laparotomy for the management of penetrating abdominal trauma: A\u00a0systematic review and meta-analysis. Int J Surg 34:127\u2013136. https:\/\/doi.org\/10.1016\/j.ijsu.2016.08.524","journal-title":"Int J Surg"},{"issue":"7","key":"1673_CR27","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1161\/CIRCULATIONAHA.116.023262","volume":"135","author":"TM Atkinson","year":"2017","unstructured":"Atkinson\u00a0TM, Giraud\u00a0GD, Togioka\u00a0BM, Jones\u00a0DB, Cigarroa\u00a0JE (2017) Cardiovascular and ventilatory consequences of Laparoscopic surgery. Circulation 135(7):700\u2013710. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.116.023262","journal-title":"Circulation"},{"issue":"4","key":"1673_CR28","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1001\/jamasurg.2013.3024","volume":"149","author":"TH Kamine","year":"2014","unstructured":"Kamine\u00a0TH, Papavassiliou\u00a0E, Schneider\u00a0BE (2014) Effect of abdominal insufflation for laparoscopy on Intracranial pressure. JAMA Surg 149(4):380\u2013382. https:\/\/doi.org\/10.1001\/jamasurg.2013.3024","journal-title":"JAMA Surg"},{"key":"1673_CR29","doi-asserted-by":"crossref","unstructured":"Sauerland\u00a0S, Agresta\u00a0F, Bergamaschi\u00a0R, Borzellino\u00a0G, Budynski\u00a0A, Champault\u00a0G et al. (2006) Laparoscopy for adbominal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc 20(1):14-29","DOI":"10.1007\/s00464-005-0564-0"},{"key":"1673_CR30","doi-asserted-by":"publisher","first-page":"109477","DOI":"10.1016\/j.surg.2025.109477","volume":"184","author":"HH Chiu","year":"2025","unstructured":"Chiu\u00a0HH, Kang\u00a0SC, Fu\u00a0CY (2025) Revisiting surgical decisions: the choice between laparotomy and laparoscopy for traumatic small bowel injuries. Surgery 184:109477. https:\/\/doi.org\/10.1016\/j.surg.2025.109477","journal-title":"Surgery"},{"issue":"03","key":"1673_CR31","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1055\/s-0043-104245","volume":"11","author":"C G\u00fcsgen","year":"2017","unstructured":"G\u00fcsgen\u00a0C et\u00a0al (2017) Schwerstverletztenversorgung in der Allgemein- und Viszeralchirurgie. Allg Visz Up2date 11(03):297\u2013317. https:\/\/doi.org\/10.1055\/s-0043-104245","journal-title":"Allg Visz Up2date"}],"container-title":["Die Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-025-01673-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-025-01673-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-025-01673-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T15:14:31Z","timestamp":1769786071000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00113-025-01673-9"}},"subtitle":["Hohlorgan- und mesenteriale Verletzungen\u00a0\u2013 daran denken","Hollow organ and mesenteric injuries\u2014keep in mind"],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["1673"],"URL":"https:\/\/doi.org\/10.1007\/s00113-025-01673-9","relation":{},"ISSN":["2731-7021","2731-703X"],"issn-type":[{"value":"2731-7021","type":"print"},{"value":"2731-703X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]},"assertion":[{"value":"27 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"J.M.M.\u00a0Schmitt, J.F.\u00a0Lock und F.\u00a0Anger geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}