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What are the signs and symptoms of piercing injuries to the liver or
spleen?
Abdominal pain and tenderness.
Bleeding, swelling, or bruising from the wound site.
Burned skin caused by a gun fired at close range.
Open wounds where the objects may have entered or exited.
Pain on the left shoulder.
Signs of shock including a fast pulse (heartbeat), low blood pressure, and pale skin.
Procedures:
Laparoscopy: Your caregiver may want to look inside your abdomen to look for bleeding and other
injuries. This is done by inserting a scope into small cuts made in your abdomen. The scope is a long
tube with a magnifying glass, a camera, and a light on the end.
Laparotomy: This is surgery to open your abdomen. Caregivers may do a laparotomy to look closely
at organs and lymph nodes inside your abdomen. Tissue samples may be taken and sent to a lab for
tests.
Peritoneal lavage: A peritoneal (per-i-toh-NEE-al) lavage (lah-VAHZH) checks the fluid in your
abdomen for signs of blood, bile (fluid from your gallbladder), or stool. Caregivers put a needle or
plastic tube into a small incision (cut) in your abdomen. Liquid is given through the tube into your
abdomen. The fluid is removed and may be sent to a lab. This test will help caregivers know if there
is a problem with one or more organs in your abdomen.
Care Agreement
You have the right to help plan your care. Learn about your health condition and how it may be treated.
Discuss treatment options with your caregivers to decide what care you want to receive. You always have
the right to refuse treatment. The above information is an educational aid only. It is not intended as
medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before
following any medical regimen to see if it is safe and effective for you.
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