TY - CHAP M1 - Book, Section TI - Penetrating Trauma to The Flank and Buttocks A1 - Ambur, Sum A2 - Cydulka, Rita K. A2 - Fitch, Michael T. A2 - Joing, Scott A. A2 - Wang, Vincent J. A2 - Cline, David M. A2 - Ma, O. John PY - 2017 T2 - Tintinalli's Emergency Medicine Manual, 8e AB - Challenges in evaluating penetrating trauma to the flank and buttocks include recognizing peritoneal and retroperitoneal injuries and determining which patients need immediate surgery and which can be managed more conservatively. Trajectories and resultant severity and pattern of injury can vary widely with both stab and gunshot wounds. Hemodynamically unstable patients need immediate operative intervention. Mechanism and time of injury, weapon characteristics, and determining the bullet path or stab wound depth may also assist in determining the initial diagnostic approach if the patient is otherwise stable. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1143144624 ER -