Table 3.
Surgical findings among the patients presenting without self-reported abdominal pain or abdominal tenderness on physical examination
| ID | Self-reported abdominal pain | Abdominal tenderness on examination | Mechanism of injury | Intra-abdominal findings | Time from arrival to surgical intervention (min) | Outcome |
| 1 | No | No | Rollover MVA | Grade 3 splenic laceration s/p exploratory laparotomy with splenectomy | 99 | Discharged home on day 6 |
| 2 | No | No | MVA | Grade 4 splenic laceration s/p exploratory laparotomy with splenectomy | 151 | Discharged home on day 13 |
| 3 | No | No | MVA | Grade 2 liver laceration, Grade 5 splenic laceration post s/p exploratory laparotomy with splenectomy | 84 | Discharged home on day 7 |
| 4 | No | No | Rollover MVA | Grade 4 splenic laceration s/p exploratory laparotomy with splenectomy | 102 | Discharged home on day 4. |
| 5 | No | Yes | Rollover MVA | Extraperitoneal bladder rupture with intraperitoneal fluid s/p exploratory laparotomy with bladder repair | 270 | Discharged home on day 7 |
| 6 | No | Yes | MVA | Sigmoid mesenteric injury with arterial bleed s/p exploratory laparotomy with mesenteric vessel ligation | 176 | Discharged home on day 5 |
| 7 | No | Yes | MCA | Left colonic injury, left renal artery injury, and abdominal compartment syndrome s/p exploratory laparotomy with abdominal decompression and bogota bag placement | 99 | Discharged home on day 63 |
| 8 | No | Yes | MVA | Grade 4 splenic laceration, grade 1 left renal laceration s/p exploratory laparotomy with splenectomy and transverse colon resection | 220 | Discharged home on day 5 |
| 9 | Yes | Yes | MVA | Gangrene of the ileum, cecum, and sigmoid s/p exploratory laparotomy with ileal, cecal, sigmoidal resection | 220 | Deceased on hospital day 2 |
| 10 | Yes | Yes | MCA | Grade 4 splenic laceration s/p exploratory laparotomy with splenectomy | 125 | Discharged home on day 4 |
| 11 | Yes | Yes | MCA | Grade 4 splenic laceration s/p exploratory laparotomy with splenectomy | 90 | Discharged home on day 4 |
| 12 | Yes | Yes | MCA | Grade 3 splenic laceration s/p exploratory laparotomy with splenectomy | 135 | Discharged home on day 5 |
| 13 | Yes | Yes | MVA | Avulsion 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 anastomosis | 125 | Discharged home on day 5 |
| 14 | Yes | Yes | MCA | Grade 3 pancreatic tail laceration, grade 1 splenic laceration, grade 1 renal laceration s/p exploratory laparotomy with distal pancreatectomy and splenectomy | 165 | Discharged home on day 6 |
| 15 | Yes | Yes | MVA | Avulsion of the small bowel and sigmoid mesentery with mesenteric bleeding s/p exploratory laparotomy with sigmoidectomy, small bowel resection, and primary anastomosis | 65 | Transferred to outside facility on day 5 |
| 16 | Yes | Yes | MVA | Retroperitoneal hematoma s/p embolization by interventional radiology | 340 | Discharged home on day 3 |
| 17 | Yes | Yes | MCA | Left diaphragmatic rupture s/p exploratory laparotomy with diaphragmatic repair | 61 | Discharged home on day 18 |
| 18 | Yes | Yes | Rollover MVA | Small bowel perforation and grade 1 splenic laceration s/p exploratory laparotomy with small bowel resection and primary anastomosis | 896 | Discharged home on day 11 |
| 19 | Yes | Yes | Rollover MVA | Small bowel and mesenteric injury s/p exploratory laparotomy with small bowel resection and primary anastomosis | 255 | Discharged home on day 11 |
| 20 | Yes | Yes | MVA | Mesenteric 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 colectomy | 36 | Transferred to outside facility on day 9 |
| 21 | Yes | Yes | MVA | Ruptured 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 anastomosis | 164 | Deceased on hospital day 2 |
| 22 | Yes | Yes | MVA | Right colon and mid-transverse colon necrotic and necrotic, non-perforated gallbladder s/p exploratory laparotomy with hemicolectomy and cholecystectomy | 205 | Discharged home on day 22 |
| 23 | Yes | Yes | MVA | Small bowel and right colon injury s/p exploratory laparotomy with small bowel resection and distal ileum to right colon resection with anastomosis | 128 | Discharged home on day 4 |
| 24 | Yes | Yes | MCA | Grade 4 splenic laceration s/p exploratory laparotomy with splenectomy | 375 | Transferred to outside facility on day 4 |
| 25 | Yes | Yes | MVA | Grade 5 splenic laceration s/p exploratory laparotomy with splenectomy | 73 | Discharged home on day 2 |
| 26 | Yes | Yes | MVA | Large jejunal mesenteric tear and ischemic small bowel s/p exploratory laparotomy with small bowel resection and primary anastomosis | 274 | Discharged home on day 4 |
| 27 | Yes | Yes | MVA | Mesenteric hematoma of the gastrocolic artery with no disruption s/p exploratory laparotomy with sigmoid colon colorrhaphy | 175 | Deceased on hospital day 13 |
| 28 | Yes | Yes | MCA | Grade 4 splenic laceration and grade 1 laceration of the left kidney s/p exploratory laparotomy with splenectomy | 137 | Discharged home on day 5 |
| 29 | Yes | Yes | MVA | Mesenteric tear at the transverse colon with active bleeding, mesenteric tear at ileocecal base, grade 1 liver laceration s/p exploratory laparotomy ligation of arteries | 100 | Discharged home on day 2 |
MCA, motorcycle accident; MVA, motor vehicle accident; s/p, status post.