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  • Title: Diagnosis of acute abdominal injuries in patients with spinal shock: value of diagnostic peritoneal lavage.
    Author: Tibbs PA, Young AB, Bivins BA, Sachatello CR.
    Journal: J Trauma; 1980 Jan; 20(1):55-7. PubMed ID: 7351679.
    Abstract:
    Loss of sensory, motor, and reflex function during spinal shock obscures the usual signs of significant blunt abdominal trauma. In a retrospective study of ten acutely quadriplegic patients, initial physical findings, vital signs, and hematocrit determinations were not found to be helpful in detecting intra-abdominal injury. Diagnostic peritoneal lavage was an accurate indicator of the presence or absence of significant intraperitoneal hemorrhage in all ten cases in this series.
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