**11.3 Delayed consequences of abdominal trauma**

	- Hematomas usually resolve spontaneously over time, depending on the size and location. Splenic hematomas or hepatic hematomas may rupture,

causing significant delayed hemorrhage. Intestinal wall hematomas may perforate, typically within 48 to 72 h after injury, releasing intestinal contents and causing peritonitis, but without causing significant hemorrhage. Intestinal wall hematoma can cause intestinal stricture, typically months to years later.


Abdominal compartment syndrome occurs when there is vascular leak and high-volume fluid resuscitation usually more than 10 l. Develops after severe abdominal injury accompanied by shock, severe burns, sepsis, and pancreatitis also.
