Abdominal Trauma: Causes

Pathogenesis (development of disease)

Abdominal trauma (abdominal trauma) is differentiated by cause as follows:

  • Blunt abdominal trauma – the abdominal wall is intact.
    • Traffic accidents (about 70%)
    • Impact injuries (about 15%)
    • Falls (approx. 6-9 %)
    • More see below
  • Perforating abdominal trauma – due to stabbing, gunshot or impalement injuries.

Abdominal trauma may involve injuries such as tearing, rupture, perforation (piercing) of one or more abdominal organs. Abdominal organs include the diaphragm, stomach, duodenum (small intestine), small intestine, large intestine, gallbladder, pancreas (pancreas), liver, spleen, mesentery (mesentery/doubling of the peritoneum, originating from the posterior abdominal wall), kidney, and urinary bladder.

Abdominal trauma can also be iatrogenic (caused by the physician). Injuries to the abdomen (stomach) may occur during the following procedures:

Etiology (causes)

Injuries, poisonings, and other consequences of external causes (S00-T98).

  • Rear-end collision
  • Impact trauma – blunt force trauma caused by impact, e.g., with a car seat belt or steering wheel (traffic accident; by the time a child reaches school age, one in three children has an accident as a pedestrian and one in four as a bicyclist)
  • Deceleration trauma (sudden interruption of a rapid body movement) – e.g., falls from a greater height (in infants: fall from a changing table)
  • Entrapment
  • Explosion
  • Iatrogenic (caused by the doctor) in the context of surgical procedures.
  • Sports accidents
  • Stabbing, gunshot, or impalement injuries
  • Shocks, kicks, blows to the abdomen (including child abuse, if applicable).
  • Rollover trauma
  • Burial