Obligatory medical device diagnostics.
- Abdominal ultrasonography (ultrasonography of abdominal organs).
- Free intraabdominal fluid? if yes: indication of internal bleeding
- Predilection sites (body regions where the disease occurs preferentially):
- Douglas space (in women): pocket-shaped bulge of the peritoneum (abdominal membrane) between the rectum (rectum) at the back and the uterus (uterus) at the front
- Proust space (in men): between the rectum and urinary bladder.
- Koller pouch (tissue pocket, which act as “drainage spaces”): recessus hepatorenales (as part of the recessus subhepaticus is a subhepatic cleft space between the right lobe of the liver (lobus hepatis dexter) and kidney or adrenal gland).
- Morison’s pouch (tissue pocket that act as “drainage spaces”): splenorenal recess (between the spleen and the left kidney or adrenal gland)
- Predilection sites (body regions where the disease occurs preferentially):
- Organ injuries? Organ ruptures (organ tears)? [v. a. spleen, liver, pancreas (pancreas)]
- Free intraabdominal fluid? if yes: indication of internal bleeding
- Radiographic examination of the abdomen – in the standing or left lateral position [foreign body? organ displacement? free air in the abdomen?]
- In polytrauma (multiple injuries): spiral CT (spiral computed tomography), that is, abdomen, thorax (chest) and skull are examined in one pass
