title: Massive gastric bleeding from a blunt abdominal trauma: report of a case.
abstract: Blunt gastric injury (BGI) is a rare condition that accounts for 0.02%-1.7% of all blunt abdominal trauma cases. Blunt gastric rupture, which occurs in less than 40% of all BGI cases, presents unstable vital signs and symptoms of peritonitis due to massive peritoneal contamination. This article presents the case of a patient with BGI who did not present with symptoms of peritonitis in spite of presenting with persistent hypovolemic shock.
authors.affiliation: Emergency and Critical Care Medical Center, Niigata City General Hospital, 463-7 Shumoku, Chuo-ku, Niigata 950-1197, Japan.
authors.forename: Mamoru
authors.initials: M
authors.lastname: Miyajima
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Iinuma
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Hirose
authors.forename: Ken
authors.initials: K
authors.lastname: Kumagai
authors.forename: Toshiharu
authors.initials: T
authors.lastname: Tanaka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sekiguchi
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Yamazaki
authors.forename: Mutsuo
authors.initials: M
authors.lastname: Yamamoto
mesh_terms: D000007:Abdominal Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000063:Accidents, Traffic; D000368:Aged; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008297:Male; D012421:Rupture; D013270:Stomach / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery