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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e Chapter 261. Penetrating Trauma to the Flank and Buttocks Sections: Penetrating Trauma to the Flank and Buttocks: Introduction, Penetrating Flank Trauma, Penetrating Buttock Trauma, ED Management and Disposition, References. Topics Discussed: buttock wound; flank wound. Excerpt:"The evaluation of penetrating injuries to the flank or buttocks
is complicated because it can be difficult to identify associated retroperitoneal, intraperitoneal,
or vascular injuries that need immediate surgery. Fortunately, an increased
armamentarium of diagnostic testing assists in timely diagnosis and
allows for selective conservative management. The choice of management,
conservative or operative, is based on the emergency evaluation, making
the emergency physician's input essential to a correct
decision and a clinically successful outcome...."
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