BACKGROUND: Management of blunt @entity99 is predominantly nonoperative. However, complications occur in 10% to 25% of @entity1 , with half taking place more than 24 hours after injury. Few reports have addressed the management of the new pattern of these delayed complications, which is the objective of this study. METHODS: Adult @entity1 admitted to our level one @entity130 center from 1995 to 2000 with blunt @entity99 were identified. Demographic, physiologic and laboratory data, computed tomography (CT) and operative findings, and complications were reviewed. RESULTS: Blunt @entity99 was identified in 192 @entity1 . Thirty-nine @entity1 (20%) underwent immediate celiotomy. The remaining 153 @entity1 were initially managed nonoperatively. Liver-related complications developed in 19 (12%) @entity1 . Fifteen @entity1 underwent delayed celiotomy to treat secondary inflammatory processes, from @entity1157 (6), @entity548 (5), and @entity99 (1), and to treat @entity8479 (2), and decompress @entity99 (1). Although no @entity204 or complications were directly caused by delayed celiotomy, 2 @entity204 (11%), occurring early in this series, were attributed to liver-related complications. CONCLUSIONS: These complications, occurring in 12% of @entity1 with @entity99 , may be a consequence of initial nonoperative management. Although these findings do not negate nonoperative management of blunt @entity99 , this approach can be hazardous and requires diligence to recognize and treat delayed and potentially fatal complications.

Delayed celiotomy for the treatment of XXXX , compartment syndrome, and other hazards of nonoperative management of blunt @entity99 .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity1157 :: ('MESH:D001649', 'Disease') :: ['bile leak'] @entity8479 :: ('MESH:D059325', 'Disease') :: ['abdominal compartment syndrome'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic abscess', 'liver injuries', 'hepatic compartment syndrome', 'liver injury'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity1157 :: (MESH:D001649,Disease) :: ['bile leak']
