Table 3

Surgical findings among the patients presenting without self-reported abdominal pain or abdominal tenderness on physical examination

IDSelf-reported abdominal painAbdominal tenderness on examinationMechanism of injuryIntra-abdominal findingsTime from arrival to surgical intervention (min)Outcome
1NoNoRollover MVAGrade 3 splenic laceration s/p exploratory laparotomy with splenectomy99Discharged home on day 6
2NoNoMVAGrade 4 splenic laceration s/p exploratory laparotomy with splenectomy151Discharged home on day 13
3NoNoMVAGrade 2 liver laceration, Grade 5 splenic laceration post s/p exploratory laparotomy with splenectomy84Discharged home on day 7
4NoNoRollover MVAGrade 4 splenic laceration s/p exploratory laparotomy with splenectomy102Discharged home on day 4.
5NoYesRollover MVAExtraperitoneal bladder rupture with intraperitoneal fluid s/p exploratory laparotomy with bladder repair270Discharged home on day 7
6NoYesMVASigmoid mesenteric injury with arterial bleed s/p exploratory laparotomy with mesenteric vessel ligation176Discharged home on day 5
7NoYesMCALeft colonic injury, left renal artery injury, and abdominal compartment syndrome s/p exploratory laparotomy with abdominal decompression and bogota bag placement99Discharged home on day 63
8NoYesMVAGrade 4 splenic laceration, grade 1 left renal laceration s/p exploratory laparotomy with splenectomy and transverse colon resection220Discharged home on day 5
9YesYesMVAGangrene of the ileum, cecum, and sigmoid s/p exploratory laparotomy with ileal, cecal, sigmoidal resection220Deceased on hospital day 2
10YesYesMCAGrade 4 splenic laceration s/p exploratory laparotomy with splenectomy125Discharged home on day 4
11YesYesMCAGrade 4 splenic laceration s/p exploratory laparotomy with splenectomy90Discharged home on day 4
12YesYesMCAGrade 3 splenic laceration s/p exploratory laparotomy with splenectomy135Discharged home on day 5
13YesYesMVAAvulsion of the mesentery of the distal ileum, transverse colon, and sigmoid colon s/p exploratory laparotomy with resection of small bowel, sigmoid resection and primary anastomosis125Discharged home on day 5
14YesYesMCAGrade 3 pancreatic tail laceration, grade 1 splenic laceration, grade 1 renal laceration s/p exploratory laparotomy with distal pancreatectomy and splenectomy165Discharged home on day 6
15YesYesMVAAvulsion of the small bowel and sigmoid mesentery with mesenteric bleeding s/p exploratory laparotomy with sigmoidectomy, small bowel resection, and primary anastomosis65Transferred to outside facility on day 5
16YesYesMVARetroperitoneal hematoma s/p embolization by interventional radiology340Discharged home on day 3
17YesYesMCALeft diaphragmatic rupture s/p exploratory laparotomy with diaphragmatic repair61Discharged home on day 18
18YesYesRollover MVASmall bowel perforation and grade 1 splenic laceration s/p exploratory laparotomy with small bowel resection and primary anastomosis896Discharged home on day 11
19YesYesRollover MVASmall bowel and mesenteric injury s/p exploratory laparotomy with small bowel resection and primary anastomosis255Discharged home on day 11
20YesYesMVAMesenteric avulsion of the distal ileum and ascending colon, deserosalization of the sigmoid colon, grade 1 liver laceration without active bleeding s/p exploratory laparotomy with right hemicolectomy and sigmoid colectomy36Transferred to outside facility on day 9
21YesYesMVARuptured abdominal aortic aneurysm and ruptured iliac aneurysm s/p exploratory laparotomy with abdominal aortic aneurysm repair and left-sided aortoiliac anastomosis and right-sided aortofemoral anastomosis164Deceased on hospital day 2
22YesYesMVARight colon and mid-transverse colon necrotic and necrotic, non-perforated gallbladder s/p exploratory laparotomy with hemicolectomy and cholecystectomy205Discharged home on day 22
23YesYesMVASmall bowel and right colon injury s/p exploratory laparotomy with small bowel resection and distal ileum to right colon resection with anastomosis128Discharged home on day 4
24YesYesMCAGrade 4 splenic laceration s/p exploratory laparotomy with splenectomy375Transferred to outside facility on day 4
25YesYesMVAGrade 5 splenic laceration s/p exploratory laparotomy with splenectomy73Discharged home on day 2
26YesYesMVALarge jejunal mesenteric tear and ischemic small bowel s/p exploratory laparotomy with small bowel resection and primary anastomosis274Discharged home on day 4
27YesYesMVAMesenteric hematoma of the gastrocolic artery with no disruption s/p exploratory laparotomy with sigmoid colon colorrhaphy175Deceased on hospital day 13
28YesYesMCAGrade 4 splenic laceration and grade 1 laceration of the left kidney s/p exploratory laparotomy with splenectomy137Discharged home on day 5
29YesYesMVAMesenteric tear at the transverse colon with active bleeding, mesenteric tear at ileocecal base, grade 1 liver laceration s/p exploratory laparotomy ligation of arteries100Discharged home on day 2

  • MCA, motorcycle accident; MVA, motor vehicle accident; s/p, status post.