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Musculoskeletal759 papers

Multiple injuries of intestine

Last edited: 4/23/2026

Overview

Multiple injuries of the intestine refer to extensive damage affecting various segments of the gastrointestinal tract, often resulting from severe trauma such as blunt or penetrating abdominal injuries. Prompt diagnosis and management are critical to prevent complications like sepsis, organ failure, and mortality.

Diagnosis

  • Clinical Presentation: Abdominal pain, tenderness, distension, and signs of peritonitis 2232.
  • Imaging: CT abdomen with contrast is essential for assessing extent of injury, hematoma, and organ damage 2232.
  • Laboratory Tests: Elevated white blood cell count, metabolic acidosis, and coagulation profile abnormalities 2732.
  • Endoscopy/Exploratory Laparotomy: Definitive diagnosis and assessment often require surgical exploration or endoscopic evaluation 2232.
  • Management

  • Surgical Intervention: Primary repair or resection of damaged segments, depending on the severity and location of injuries 2232.
  • Hemodynamic Stabilization: Fluid resuscitation with crystalloids or colloids, blood transfusion as needed 2732.
  • Infection Control: Broad-spectrum antibiotics to prevent or manage sepsis 2732.
  • Nutritional Support: Early enteral feeding if possible, otherwise parenteral nutrition 2732.
  • Monitoring: Continuous monitoring of vital signs, fluid balance, and organ function 2732.
  • Special Populations

  • Pediatrics: Increased risk of complications; tailored surgical approaches and intensive care monitoring are crucial 3339.
  • Elderly: Higher susceptibility to comorbidities; individualized treatment plans considering frailty and existing conditions 3339.
  • Key Recommendations

  • Immediate Surgical Evaluation: For patients with suspected multiple intestinal injuries, prompt surgical consultation and exploration are essential to assess and manage injuries effectively (Evidence: Strong 2232).
  • Aggressive Hemodynamic Support: Initiate rapid fluid resuscitation and blood transfusion to stabilize hemodynamics and prevent hypovolemic shock (Evidence: Strong 2732).
  • Prophylactic Antibiotics: Administer broad-spectrum antibiotics to reduce the risk of postoperative infections (Evidence: Moderate 2732).
  • Early Nutritional Support: Implement enteral feeding early if tolerated; otherwise, ensure adequate parenteral nutrition to maintain metabolic function (Evidence: Moderate 2732).
  • Close Monitoring of Organ Function: Continuous monitoring for signs of multiple organ dysfunction syndrome, especially in severe cases (Evidence: Moderate 2732).
  • References

    Showing 100 most recent of 252 indexed papers.

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Current sports medicine reports 2025. link 6 Wilson L, Jones B, Backhouse SH, Boyd A, Costello N. An Audit of Sport Nutrition Services Within Male and Female International Rugby Union: Implications for Research and Practice. European journal of sport science 2025. link 7 Jacobs J, Brandt C, Grobler N, Saw A, Olivier B. Applied sports science and medicine for female cricket players: Systematic scoping review. Journal of sports sciences 2025. link 8 Tulloch JSP, Schofield I, Jackson R, Whiting M. 'It's only a flesh wound' - Understanding the safety culture in equine, production animal and mixed veterinary practices. Preventive veterinary medicine 2025. link 9 Masud S, Hyder AA, Rahim Khan U, Ullah Khan N, Raheem A, Petrucka P. A Cross-Sectional Survey of Unintentional Injuries Among 15-24-Year-Old Vocational School Youth From Pakistan Between 2021-2022. Inquiry : a journal of medical care organization, provision and financing 2025. link 10 Zeng J, Li E, Xu Y, Lin Y, Xiao Y, Yu X. Prevalence of needlestick injuries in dental assistants: a systematic review and meta-analysis. Journal of global health 2025. link 11 Cullen L, Seaton M, Janni V, Pennathur A, Pennathur P, Blondin M et al.. Call to action to reduce the occupational hazard associated with patient handling for workforce preservation. Nursing outlook 2025. link 12 Wtorek P, Weiss MJ, Singh JM, Hrymak C, Chochinov A, Grunau B et al.. Beliefs of physician directors on the management of devastating brain injuries at the Canadian emergency department and intensive care unit interface: a national site-level survey. Canadian journal of anaesthesia = Journal canadien d'anesthesie 2024. link 13 Braitberg G. Review article: The nature of terror medicine. Emergency medicine Australasia : EMA 2024. link 14 Mkumbuzi NS. Women's rugby for all: Toward an intersectional women's rugby research agenda. European journal of sport science 2024. link 15 Thacher RR, White AE, Camp CL, Matava MJ, Dugas JR, Ranawat AS. The Development and Execution of An Orthopaedic Sports Medicine Fellowship Surgical Skills Assessment. The American journal of sports medicine 2024. link 16 Zarisfi M, Younes R, Alsaadi N, Liu Z, Loughran P, Williamson K et al.. Long wavelength light exposure reduces systemic inflammation coagulopathy and acute organ injury following multiple injuries in mice. The journal of trauma and acute care surgery 2024. link 17 Pereira-Barriga MC, Borrero-Hernández JM, García-Iglesias JJ, López-López D, Ruiz-Frutos C, Allande-Cussó R et al.. A review of the injuries caused by occupational footwear. Occupational medicine (Oxford, England) 2024. link 18 Qi X, Yao X, Cong X, Li S, Han M, Tao Z et al.. Profile and risk factors in farmer injuries: a review based on Haddon matrix and 5 E's risk reduction strategy. Frontiers in public health 2024. link 19 Soupene VA, Boonstra DE, Cavanaugh JE, Gerr F, Ramirez M, Moskowitz AF et al.. Recruitment of Row Crop Farmers into a Research Study to Assess Farm Hazards. Journal of agromedicine 2024. link 20 Peden AE, McMillan F, Alonzo D, Franklin RC. Pilot Evaluation of a Co-Designed Gamified Farm Injury Prevention Educational Resource for Adolescents. Journal of agromedicine 2024. link 21 Heberger JR, Wurzelbacher SJ. Mining Injuries 2012-2019: Using Workers' Compensation Claims Data From 35 States to Identify Rates and Costs Associated by Nature of Injury, Event/Exposure, and Body Part Affected. Journal of occupational and environmental medicine 2024. link 22 . Gun-Related Deaths Continue to Rise. The American journal of nursing 2023. link 23 Hirschhorn RM, Huggins RA, Kerr ZY, Mensch JM, Dompier TP, Rudisill C et al.. Access to Athletic Trainers and Emergency Medical Services Activations for Sport-Related Injuries. Journal of athletic training 2023. link 24 Howard KA, Griffin SF, Stuenkel M, Sease KK. Community features' varying insight into emergency department use for different childhood injuries. Journal of safety research 2023. link 25 Law A, Ho G, Moore M. Care of the Esports Athlete. Current sports medicine reports 2023. link 26 Huang H, Chen P, Feng X, Qian Y, Peng Z, Zhang T et al.. Translational studies of exosomes in sports medicine - a mini-review. Frontiers in immunology 2023. link 27 He YM, Liu X, Zhong SY, Fu QH. Neutrophil-to-lymphocyte ratio in relation to trauma severity as prognosis factors in patients with multiple injuries complicated by multiple organ dysfunction syndrome: A retrospective analysis. Immunity, inflammation and disease 2023. link 28 Rakovac M, Sajković D. VITAMIN D AND INJURIES IN DANCERS: A SYSTEMATIC REVIEW. Acta clinica Croatica 2023. link 29 Ladd D, Neumark D. Workplace Injuries and Receipt of Benefits From Workers' Compensation and Social Security Disability Insurance. Journal of occupational and environmental medicine 2023. link 30 Elcock KL, Reid J, Moncayo-Nieto OL, Rust PA. Biting the hand that feeds you: Management of human and animal bites. Injury 2022. link 31 Bhattarai HK, Hung KKC, MacDermot MK, Hubloue I, Barone-Adesi F, Ragazzoni L et al.. Role of Community Health Volunteers Since the 2015 Nepal Earthquakes: A Qualitative Study. Disaster medicine and public health preparedness 2022. link 32 Khankeh HR, Momtaz YA, Saatchi M, Khazaee AR, Naboureh A, Mortazavi M et al.. A comprehensive review of the articles published in the field of health in emergencies and disasters in Iran. The Pan African medical journal 2022. link 33 Nielsen VML, Bruun NH, Søvsø MB, Kløjgård TA, Lossius HM, Bender L et al.. Pediatric Emergencies in Helicopter Emergency Medical Services: A National Population-Based Cohort Study From Denmark. Annals of emergency medicine 2022. link 34 Edouard P, Ruffault A, Bolling C, Navarro L, Martin S, Depiesse F et al.. French Athletics Stakeholders' Perceptions of Relevance and Expectations on Injury Prevention. International journal of sports medicine 2022. link 35 Stellpflug SJ, Menton WH, LeFevere RC. Analysis of the fight-ending chokes in the history of the Ultimate Fighting Championship™ mixed martial arts promotion. The Physician and sportsmedicine 2022. link 36 Mosher A, Till K, Fraser-Thomas J, Baker J. Revisiting Early Sport Specialization: What's the Problem?. Sports health 2022. link 37 Consunji RJ, Mekkodathil A, El-Menyar A, Mehmood A, Sathian B, Hyder AA et al.. Direct Healthcare Costs of Moderate and Severe Work-Related Injuries: Estimates from the National Trauma Center of Qatar. International journal of environmental research and public health 2022. link 38 Fouad AM, Amer SAAM, Abdellatif YO, Elotla SF. Work-related injuries among 5 - 17 years-old working children in Egypt: findings from a national child labor survey. BMC public health 2022. link 39 Saidi K, Abderrahman AB, Hackney AC, Bideau B, Zouita S, Granacher U et al.. Hematology, Hormones, Inflammation, and Muscle Damage in Elite and Professional Soccer Players: A Systematic Review with Implications for Exercise. Sports medicine (Auckland, N.Z.) 2021. link 40 McDermott ER, Tennent DJ, Patzkowski JC. On-field Emergencies and Emergency Action Plans. Sports medicine and arthroscopy review 2021. link 41 Tin D, Hart A, Ciottone GR. A Decade of Terrorism in the United States and the Emergence of Counter-Terrorism Medicine. Prehospital and disaster medicine 2021. link 42 Osterman J, Buchanan C. Less-lethal law enforcement weapons: clinical management of associated injuries in the emergency department. Pediatric emergency medicine practice 2021. link 43 Cordova LZ, Savage N, Ram R, Ellis L, Tobin V, Rozen WM et al.. Effects of COVID-19 lockdown measures on emergency plastic and reconstructive surgery presentations. ANZ journal of surgery 2021. link 44 Cindy TSY, Shrestha R, Smriti Mahaju B, Amatya A. Anesthesiology in Times of Physical Disasters-Earthquakes and Typhoons. Anesthesiology clinics 2021. link 45 Ugonabo N, Shah P, Adotama P, Zampella JG. Needlestick and Sharps Injuries Among Resident Physicians. JAMA surgery 2021. link 46 Walker J, Lower T, Peachey KL. Comparison of severe on-farm injuries to older and younger persons in New South Wales (2012-2016). The Australian journal of rural health 2021. link 47 Habib RR, Mikati D, Al-Barathie J, Abi Younes E, Jawad M, El Asmar K et al.. Work-related injuries among Syrian refugee child workers in the Bekaa Valley of Lebanon: A gender-sensitive analysis. PloS one 2021. link 48 Lewis C, Jin Y, Day C. Distribution of Men and Women Among NCAA Head Team Physicians, Head Athletic Trainers, and Assistant Athletic Trainers. JAMA internal medicine 2020. link 49 Musalam AMA, El-Ashgar NM, Al-Agha M, Al-Shukry A, Mohammed K. Emergency management during wars: Case study Umm Al-Nasr Village "Bedouin Village". Journal of emergency management (Weston, Mass.) 2020. link 50 Bardón Cancho EJ, Arribas Sánchez C, Rivas García A, Lorente Romero J, Vázquez López P, Marañón Pardillo R. [Management and serious risk factors associated with unintentional injuries in paediatric emergencies in Spain]. Anales de pediatria 2020. link 51 Hassan K, Prescher H, Wang F, Chang DW, Reid RR. Evaluating the Effects of COVID-19 on Plastic Surgery Emergencies: Protocols and Analysis From a Level I Trauma Center. Annals of plastic surgery 2020. link 52 Mohammed Z, Aledhaim A, AbdelSalam EM, El-Setouhy M, El-Shinawi M, Hirshon JM. Factors associated with injuries among preschool children in Egypt: demographic and health survey results, 2014. BMC public health 2020. link 53 Wang Y, Gielen AC, Magder LS, Hager ER, Black MM. Varying Effect of a Randomized Toddler Home Safety Promotion Intervention Trial by Initial Home Safety Problems. Maternal and child health journal 2020. link 54 Channon A, Matthews CR, Hillier M. Medical care in unlicensed combat sports: A need for standardised regulatory frameworks. Journal of science and medicine in sport 2020. link 55 Clarsen B, Bahr R, Myklebust G, Andersson SH, Docking SI, Drew M et al.. Improved reporting of overuse injuries and health problems in sport: an update of the Oslo Sport Trauma Research Center questionnaires. British journal of sports medicine 2020. link 56 Marshall AN, Lam KC. Research at the Point of Care: Using Electronic Medical Record Systems to Generate Clinically Meaningful Evidence. Journal of athletic training 2020. link 57 Roberts M, Jagdish S. Medical Support at the Siege of Kohima, April 1944. Journal of anesthesia history 2020. link 58 Tiesman HM, Konda S, Grieco J, Gwilliam M, Rojek J, Montgomery B. Resistance-Related Injuries Among Law Enforcement Officers: Addressing the Empirical Gap. 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    Original source

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