Abdominal Stab Wounds

The severity of stab wounds is based exclusively on the location and depth of penetration. Important considerations include the type of weapon used (knife length, shape, straight or serrated), and manner of assault (overhand vs.underhand). The gender of the assailant may have some importance, in that women tend to stab "overhand." Penetration tends to be deeper with the "underhand" thrust. ALL STAB WOUNDS REQUIRE IMMEDIATE PHYSICIAN MANAGEMENT. All stab wounds require a tetanus vaccination within the past 5 years.

Stab wounds to the CHEST should always be considered LETHAL until proven otherwise. Chest wounds can result in rupture of the lung (pneumothorax) or marked bleeding within the chest cavity (hemothorax). Central stab wounds, below the collar bones (clavicles) and to either side of the breastbone (sternum), can result in penetration of the heart. Remember, the ability to penetrate the heart is limited by the length of the knife and the force exerted by the assailant.

Stab wounds to the ABDOMEN always require EMERGENCY evaluation. These injuries will often result in an exploratory laparotomy (operation) to rule out serious damage. Slow bleeding inside the abdomen is extremely difficult to diagnose, and should be considered a possibility in every case. Wounds that have internal organs passing through the opening (evisceration) require prompt
surgical intervention. Peritoneal lavage and CT-scanning are helpful diagnostic tools in these situations.

Stab wounds to the upper back can involve the lung or heart. Stab wounds to the lower and middle back can involve the kidneys and/or ureters. Evaluation of stab wounds to the back that may have punctured the kidney will require intravenous pyelography for evaluation. The presence of blood in the urinalysis indicates injury to the kidney, bladder, or ureter.

Stab wounds to the EXTREMITIES that do not lacerate nerves, blood vessels, or tendon structures, often can be sutured closed loosely, or left open to heal on their own. Cases where vascular injury is a possibility, may require angiography to determine if operative intervention is necessary. Examination
for sensation, movement, and pulses must be performed. Watch for SIGNS OF INFECTIONS: increase in pain at the site, discharge from the wound, redness, swelling, or fever.

In short, all stab wounds are potentially SERIOUS injuries that require the evaluation by a qualified Emergency Physician.Consultation to the General Surgeon will be made where appropriate.

12 Hip Dislocation
12 Hip Fracture
12 Insect Stings and Spider Bites
12 Human and Animal Bites
12 Shoulder Injury Fracture
12 Toxic Inhalations and Carbon Monoxide Poisoning
12 Facial Injury Jaw Fracture and Dislocation
12 Kidney Injury
12 Knee Injury General Considerations
12 Knee Injury Contusion
12 Knee Injury Fracture
12 Knee Injury Sprain
12 Stab Wounds
12 Leg Injury Fractures and Contusions
12 Leg Injury Shin Splints
12 Lightning Injury
12 Oral and Tongue Injuries
12 Nasal Fracture or Contusion
12 Neck Injury General Considerations
12 Neck Injury Fracture
12 Neck Injury Spinal Cord Injury
12 Pelvic Bone Fracture
12 Puncture Wounds
12 Chest Injury Rib Fracture
12 Back Injury Sacrococcygeal Injury
12 Scorpion Bites
12 Abrasion Injuries
12 Shoulder Injury Clavicle Fracture
12 Shoulder Injury Strains and Sprains
12 Snakebite
12 Neck Injury Spinal Cord Injury
12 Abdominal Injury Ruptured Spleen
12 Foot Injury Toe Fracture and Sprain
12 Vaginal or Vulvar Injury
12 Drowning and Near Drowning


Abdominal Injury
Abdominal Injury: Contusion
Animal Bites
Ankle Fracture
Ankle Injury
Ankle Injury: Contusion
Ankle Sprain
Back Injury
Back Injury : Sacrococcygeal Injury
Back Strain
Carbon Monoxide Poisoning
Chemical Burns
Chest Injuries
Chest Injury: Aortic Rupture
Chest Injury: Hemothorax
Chest Injury: Myocardial Contusion
Chest Injury : Pneumothorax
Chest Injury: Pulmonary Contusion
Chronic Back Pain
Clavicle Fracture
Compression Fractures
Decompression Sickness
Disc Disease
Gunshot Wounds
Hand Injury: Fingertip Amputations
Head Injury
Liver Injury
Marine Stings
Muscle Strains
Rib Fracture
Ruptured Spleen
Shoulder Injury: A-C Separation
Spider Bites
Spinal Cord Injury
Sternum Fracture
Testicular Injury
Wrist Injury
hi Scuba Related Injuries
i Hand Injury Finger Amputaion
de Lecerations
de Cold Injury and Hypothermia
dd Dental Injury
xs Facial Injury
sdf Neck Injury
e Shoulder Injury Dislocation
e Ear Injury
ed Elbow Injury
de Elbow Injury Fracture
dfe Elbow Injury Nursemaids
ee Electrical Injury
de Eye Injury
ed Facial Injury General Considerations
fr Facial Injury Contusion
ed Hand Injury Finger Sprains
ded Fingernail and Toenail Injuries
dd Hand Injury Fractures
23 Head Injury Skull Fracture and Concussion
44 Chest Injury Myocardial Contusion
fde Heat Illness
ed Hest Injury Hemothorax
y Back Injury Disc Disease
;l High Altitude Illness

Become a regular visitor at our "Health Care Blog" - Here are the latest blog entries:


Home © health-care-information.org. All rights reserved.

Health Care BLOG || Your Feedback & Suggestions || Health Directory


Disclaimer: Health-Care-Information.org is designed for educational purposes only and is not engaged in rendering medical advice or professional medical services. Any medical or other decisions should be made in consultation with your qualified health care provider. We will not be liable for any complications, injuries or other medical accidents arising from or in connection with the use of or reliance upon any information on this web site.