Abdominal Trauma — Specific Organ Injuries

A 28-year-old man is brought to the emergency department following a motor vehicle collision. He was the restrained driver. On examination, he is alert, blood pressure 110/70 mmHg, heart rate 98/min, and respiratory rate 20/min. Abdominal examination reveals tenderness in the left upper quadrant with guarding. FAST scan shows free fluid in the left paracolic gutter and pelvis. Focused assessment with sonography for trauma (FAST) is positive for intraperitoneal fluid. CT abdomen with IV contrast shows a laceration of the spleen with active extravasation and a small amount of free fluid. The patient remains hemodynamically stable after 2 units of packed red blood cells. What is the most appropriate next step in management?

A 28-year-old man is brought to the emergency department following a high-speed motor vehicle collision. He is haemodynamically stable with a blood pressure of 110/70 mmHg and heart rate of 88 bpm. On examination, he has tenderness in the left upper quadrant with mild guarding. FAST scan shows free fluid in the left paracolic gutter. CT abdomen with IV contrast reveals a laceration of the spleen with a small amount of perisplenic fluid collection but no active extravasation. The patient remains haemodynamically stable after 2 hours of observation. What is the most appropriate next step in management?

A 32-year-old male presents to the emergency department following a motor vehicle collision with blunt abdominal trauma. On examination, he has left-sided flank tenderness, haematuria on dipstick, and stable vital signs. Focused Assessment with Sonography for Trauma (FAST) is negative. Which investigation is most appropriate to confirm renal injury?

A 28-year-old woman is brought to the trauma centre following a stab wound to the right upper quadrant. She is haemodynamically stable with mild right upper quadrant tenderness. FAST examination shows no free fluid. Which investigation is most appropriate as the next step to exclude hepatic injury?

A 32-year-old man is brought to the emergency department following a motor vehicle collision with blunt abdominal trauma. On examination, he has left-sided rib fractures (8–10) and left upper quadrant tenderness. Focused assessment with sonography for trauma (FAST) is positive for free fluid in the left upper quadrant. Which organ is most commonly injured in this clinical scenario?