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Nonoperative management of cardiac trauma as well as colon penetrating trauma can be performed in asymptomatic patients, with close surveillance and selected patients since the standard management is surgery.

Nonoperative Management of Multiple Penetrating Cardiac and Colon Wounds from a Shotgun: A Case Report and Literature Review

Current EAST guidelines (9) strongly recommend diagnostic laparoscopy in all patients with penetrating trauma to the left TA area who have no other indications for laparotomy to diagnose and repair diaphragm injuries.

Laparoscopy or clinical follow-up to detect occult diaphragm injuries following left-sided thoracoabdominal stab wounds: A pilot randomized controlled trial

Age-related gender differential in outcome after blunt or penetrating trauma. Shock 2003,-19: 28-32.

Trauma epidemiology of women in Puerto Rico, 2002-2011

Mortality was significantly higher with penetrating trauma patients than with blunt trauma (57.9% vs 11.6% respectively, P value < 0.05).

Incidence, patterns and factors predicting mortality of abdominal injuries in trauma patients

Maintaining a high index of suspicion, and early use of simple imaging where there is any possibility of prior penetrating trauma, may assist in early exclusion of a retained foreign body.

A puzzling case of cryptococcal meningitis

He said at the UMass Memorial Medical Center -- University Campus trauma center, about 4 percent of the cases are "penetrating trauma incidents.'' Simply put, those are incidents involving knives or guns.

Violent crime stats hold the line; some even decline; Stats show drop in knife wielding

Traumatic causes of Horner Syndrome include penetrating trauma, such as a stab or bullet wound, and blunt trauma of the neck and upper thorax.

The development of Horner Syndrome following a stabbing

Results: In 43 patients, injuries were caused by blunt trauma in 26 cases and penetrating trauma in 17 cases.

The delayed management of main arterial injuries in extremity trauma: surgical challenges and outcomes

There was no history of blunt or penetrating trauma, nor surgery in the foot.

Repair of a true dorsalis pedis artery saccular aneurysm

The pediatric population is exceptionally susceptible to penetrating trauma of the palate due to developing coordination issues and the tendency to put objects into mouths.

Palatal fracture in a child