Conservative treatment in salvageable solid visceral injury in primary blast injury in our setting is restricted as a lack of easy availability of advanced imaging techniques and intensive care unit, sophisticated resuscitation measures and the invasive monitoring GSK458 purchase facilities. Moreover, multiple organ injury in a number of individual patients in this series did not favored conservative management in our settings. Laparotomy continues to be decisive factor in final diagnosis. Conclusion PBI causes varied abdominal organ injuries. Single or multiple organ damage can be there. Intestines
as well as solid viscera are prone for damage. Small intestine is commonest viscera damaged. Multiple perforations are present commonly in a small gut. An awareness of presentation of pattern of injuries occurring in a primary injury can make early diagnosis. Observation period for those who have been very close to the site of blast
even without any evident injury is quite important, as it is LY294002 not only the pallets but also even the blast waves, falling of objects, stampede which can inflict very serious trauma to these patients. Most of the times laparotomy may reveal even the most concealed injuries. References 1. Ritenour AE, Baskin TW: Primary blast injury: update on diagnosis and treatment. Crit Care Med 2008,36(7 Suppl):S311–7.CrossRefPubMed 2. Wolf SJ, Bebarta VS, Bonnett CJ, Pons PT, Cantrill SV: Blast injuries. Lancet 2009,1;374(9687):405–15.CrossRef 3. Champion HR, Holcomb JB, Young LA: Injuries Thiamine-diphosphate kinase from explosions: physics, biophysics, pathology, and required research focus. J Trauma 2009,66(5):1468–77.CrossRefPubMed 4. Guzzi LM, Argyros G: The management of blast injury. Eur J Emerg Med 1996, 3:252–5.CrossRefPubMed 5. Cripps NPJ, Cooper GJ: Risk of late perforation in intestinal contusions caused by explosive blast. Br J Surg 1997, 84:1298–303.CrossRefPubMed 6. Ignjatović D: Vojnosanit Pregl. 2.Blast injuries of the intestines
in abdominal injuries. 1994,51(1):3–1. 7. Carter PS, Belcher PE, Leicester RJ: Small-bowel adhesions long after blast injury. J R Soc Med 1999,92(3):135–6.PubMed 8. De Palma RG, Burris DG, Champion HR, Hodgson MJ: Blast Injuries current concepts. N Engl J Med 2005, 352:1335–42.CrossRef Competing interests The authors declare that they have no competing interests. Authors’ contributions IW: took acquisition of data, compilation of relevant literature, formatting, revision, drafted the preliminary and final manuscript. FQ: helped in drafting, acquisition and revision of manuscript TS, RW AA, and IG:helped in acquisition of data and revision of manuscript. MN:helped in final drafting and revision of manuscript. All authors have read manuscript and approved the final version of manuscript.