Where would the blood drain when the mesentery and pancreas have a big bleeding tear?

Question

Hello doctor,

This is about an 18-year-old female. If the mesentery and/or pancreas has a tear in one or both and if that tear was big enough to bleed, where would the blood go? Would it go through the tract of the vagina or the rectal tract to seep blood out of the body? How long does it take the body and skin to show bruises or an area that has been injured somehow? When you cut, let's say, your arm or leg with some kind of tool. After the cut, when does the blood start clotting? If someone was sexually assaulted and has tears from stretching or penetration. When do the tears start healing? How long will it take, minutes, hours, days, or months?

Kindly guide.

Answer 1

Hello,

Welcome to icliniq.com.

The pancreas is highly vascular and is surrounded by major vessels. Hence, pancreatic trauma may be associated with life-threatening hemorrhage and shock. Pancreatic injury or pancreatic trauma can be as follows. Due to blunt trauma as well as car accidents, when the internal hemorrhage occurs in the peritoneal cavity, it leads to peritonitis or retroperitoneal hematoma. When it is because of a sharp penetrating injury, such as a stabbing, external hemorrhage occurs.

A bruise is bleeding under the skin and is due to the rupture of vessels in the skin due to a blow or any impact. The timeframe for the appearance of a bruise is in relation to the amount of the injury. In case of significant trauma, it appears immediately. The classic feature of the bruise is that it changes its color. The force that is enough to rupture the skin capillaries is all that defines the bruise. When you suffer a cut, your body immediately reacts in seconds to stop bleeding through hemostasis.

Your blood should clot within one to nine minutes by primary platelet plug formation. Again, the time is variable, as it depends on the nature and depth of the wound. If it does not clot in nine minutes, it should be evaluated for platelet dysfunction.

Vaginal tears, like any other wound, start healing immediately after the injury. But again, time for healing is based on the degree of the tear. First-degree or second-degree vaginal tears usually heal within seven to ten days. Third- and fourth-degree burns may take months to recover. Any vaginal tear longer than an inch requires suturing.

I hope this helps.

Thank you.