Blunt abdomen trauma: a study of 50 cases
DOI:
https://doi.org/10.18203/2349-2902.isj20181447Keywords:
Blunt trauma abdomen, Non-operative management, Road traffic accidentAbstract
Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. Identification of serious intra-abdominal pathology is often challenging; many injuries may not manifest during the initial assessment and treatment period.
Methods: This study was conducted on 50 patients of blunt abdominal trauma admitted in a Tertiary Care Hospital, Including All patients with blunt abdominal trauma and Patients of all age groups.
Results: In present study age group affected was 11 to 20 years and 41 to 50 years (20% each). Next group was 21 to 30 years (18%), male: female ratio was 2.8:1, most common mode of injury was road traffic accidents. Incidence of road traffic accidents was 48%. In study 2 patients out of 3 patients expired due to late presentation, liver injured (34%), followed by spleen (16%). Other injuries were small intestine and mesentery (14%), Urethral injury (12%) and muscular hematoma (8%), clinical presentation was abdominal pain (90). Extremity fractures 14% of cases, postoperative complication of respiratory infections (50%). Wound infection was 25% of patients. 2 patients who died suffered postoperative complications. Mortality rate (40%) in hemodynamically unstable patients than in hemodynamically stable patients (3%), Survival rate 94% while mortality rate 6%.
Conclusions: Morbidity and mortality can be prevented by timely initial resuscitation and correct diagnosis as well as management (operative or non-operative) which depend on patient’s hemodynamic stability and findings of imaging studies.
Metrics
References
Schwartz’s principles of surgery, 9th edition, chapter 9th, Schwartz, Seymour I, Brunicardi, F Charles. New York: McGraw-Hill Medical Pub. Division, c201;1928:135-196.
Sabiston’s textbook of surgery, 18th edition, section II, chapter 20. 2007;477-520.
Khan S, Alpar EK. Abdominal solid organ injuries in multi trauma patients, incidence and etiology: a retrospective analysis of 111 cases. J Surg. 1997;14:44-47.
Mock CN, Jurkovich GJ, Nii-Amon-Kotei D, Arreola-Risa C, Maier RV. Trauma mortality patterns in three nations at different economic levels: implications for global trauma system development. J Trauma. 1998;44:804-14.
Panchal HA, Ramanuj AM. The study of abdominal trauma: patterns of injury, clinical presentation, organ involvement and associated injury. Int Surg J. 2016; Aug:3(3):1392-8.
Memon MR, Sanghi AG, Abbasi SA, Memon AA. Role of laparoscopy in blunt abdominal trauma. RMJ. 2013;38:40-3.
Shires GT, Thal ER, Jones RC, Shires GT III, Trauma PM. Principles of surgery. (6thedn), New York: McGraw Hill;1994:175-224.
Holmes JF, Wisner DH, McGahan JP, Mower WR, Kuppermann N. Isolated intraperitoneal fluid on abdominal computed tomography in children with blunt trauma. Acade Emerg Med. 2009;7(4).
Zheng YX, Chena L, Tao SF, Song P, Xu Sm. Diagnosis and Management of Colonic injuries following blunt trauma. World J Gastroenterol. 2007;13:633-6.
Ahmed N, Vernick JJ; Management of liver trauma in adults. J Emergency Trauma Shock. 2011;4(1):114-9.
Munns J, Richardson M, Hewett P. A review of intestinal trauma. Australia J Surg. 1995;65:857860.
Hill Ac scheter Wp, Trinkey DD: Abdominal trauma and indication for laparotomy. Trauma Norwalk CT scan, Appleton and lange P. 1988:401.
Goyal S, Sancheti KH, Shete KM. Poly Trauma in Rural India-Changing Trends. Indian J Orthopaed. 2006 Oct 1;40(4):259.
Dave PK. Organisation of an accident Service, Delhi; Jaypee Brothers;1995:62-65.
Hassan R, Aziz AA. Computerized tomography (CT scan) imaging of injuries of blunt abdominal trauma: a picture assay. Malays J Med Sci. 2010;17:29-39.
Musau P, Jani PG, Owillah FA. Pattern and outcome of abdominal injuries at Kenyatta National Hospital, Nairobi. East Afr Med J. 2006;83(1):378-43.
Mehta N, Babu S, Venugopal K. An experience with blunt abdominal trauma: evaluation, management and outcome. Clinics Practice. 2014 Jun 18;4(2).
Davis JJ, I Cohn I, Nance FC. Diagnosis and management of blunt abdominal trauma. Ann Surg. 1976;183(6):672-7.
Kumawat JL, Mathur PN, Mathur K, Mehta FS. A retrospective study of blunt trauma abdomen. J Evol Med Dent Sci. 2015 Jul 23;4(59):10263-9.
Panchal HA, Ramanuj AM. The study of abdominal trauma. Int Surg J. 2016;3:1395.
Aziz A, Bota R, Ahmed M. Frequency and Pattern of Intra-abdominal Injuries in Patients with Blunt Abdominal Trauma. J Trauma Treat. 2014;3:196.
Smith J, Caldwell E, D'Amours S, Jalaludin B, Sugrue M. Aabdominal trauma: a disease in evolution. ANZ J Surg. 2005;75:790-4.
Majid S, Gholamreza F, Mahmoud YM. New scoring system for intra-abdominal injury diagnosis after blunt trauma. Chin J Traumatol. 2014;17:19-24.
Downloads
Published
How to Cite
Issue
Section
