Abdominal and Genitourinary Injuries

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• A break in one or more bones of the pelvic ring; high-energy fractures can produce massive internal bleeding and instability.

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• Protrusion of internal organs through an open abdominal wound.

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• A band of bruising across the abdomen following a vehicle collision; raises suspicion for bowel, mesenteric, or vertebral injury.

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• Damage to a dense, blood-rich organ — liver, spleen, kidney, pancreas — typically presenting with internal bleeding and shock.

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• Periumbilical bruising suggesting retroperitoneal hemorrhage or pancreatitis.

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