Ann Ital Chir. 2021 Jan 20;10:S2239253X21035015.
Gastric perforations as a result of blunt abdominal traumas are rare, with a reported incidence of less than 2%. Usually associated with other solid visceral injuries, isolated gastric ruptures following a blunt abdominal injury are extremely uncommon. The severity of injury, timing of presentation, time elapsed since the last meal, as well as the presence of concomitant injuries are important prognostic factors. Contrast-enhanced CT scan is the gold-standard diagnostic tool in haemodinamically stable patients and allows to detect or raise suspicion of injuries to hollow viscera in about 87% of cases. The authors report two cases of patients suffering from gastric injury following a blunt abdominal trauma. The first one with a double gastric laceration treated with suture repair. The second one with a wide laceration and tissue loss along the greater gastric curvature requiring a wedge resection. Both patients had an uneventful recovery. Authors present a brief review of the literature; a search on PubMed using the key words "blunt abdominal trauma" and "gastric injury" was performed, including all studies published in the last 20 years. Finally, the main data extracted from four reviews were examinated. KEY WORDS: Abdominal trauma, Gastric injury, Hollow viscus perforation.
钝性腹部创伤导致的胃穿孔较为罕见，其发病率报告不足 2%。通常与其他实质性内脏损伤相关，钝性腹部损伤后孤立性胃破裂极为罕见。损伤的严重程度、表现时间、末次进餐到就诊的时间间隔以及合并损伤的存在都是重要的预后因素。血流动力学稳定的患者，增强 CT 扫描是金标准诊断工具，约 87%的情况下可检测或提示存在空腔脏器损伤。作者报告了 2 例钝性腹部创伤后胃损伤的患者。其中 1 例为双胃裂伤，采用缝合修复治疗。另 1 例为胃大弯广泛裂伤伴组织缺失，需要楔形切除。2 例患者均恢复顺利。作者简要回顾了文献；在 PubMed 上使用关键词“钝性腹部创伤”和“胃损伤”进行了检索，包括过去 20 年发表的所有研究。最后，检查了 4 篇综述中提取的主要数据。关键词：腹部创伤，胃损伤，空腔脏器穿孔。
