[The problems of blunt abdominal trauma accompanied by cranio-cerebral trauma (author's transl)].

From 1967-80, 276 blunt abdominal traumas were surgically treated at the Chirurgische Universitätsklinik Tübingen. In the course of these, cranio-cerebral trauma was the most apparent accompanying injury. Diagnostic difficulties were considered one major cause among others for the high mortality rate of 40%. The diagnostic procedure is described and the special significance of peritoneal lavage for the diagnostic procedure and the importance of intraoperative autotransfusion for the therapy is emphasized.