title: Abdominal trauma: never underestimate it.
abstract: 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.
authors: Department of Emergency Medicine, University of Florida College of Medicine, Gainesville, FL 32610, USA.
authors: Aakash N
authors: AN
authors: Bodhit
authors: Anjali
authors: A
authors: Bhagra
authors: Latha Ganti
authors: LG
authors: Stead