Comprehensive study of blunt injury abdomen in medical college, Chennai, India


  • Vimala Gopalakrishnan Department of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India
  • Sangamithra Anandaraja Department of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India
  • Vinayak Rengan Department of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India
  • Chetna Ravindra Department of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India



Abdominal injury, CT scan, Splenectomy, Solid organ injury


Background: Abdomen is the third most common organ injured following extremities and head injury. CT scanning has increased the identification of injuries. The care of the trauma patient is demanding and requires dedication, diligence, and efficiency. To evaluate the type and frequency of injury of various intraabdominal organs in the blunt trauma of the abdomen.

Methods: After a primary survey of these patients, brief history and complete physical assessment all the basic investigations were done. Skiagrams were taken routinely. Ultrasonogram (F.A.S.T SCAN) was done for all cases and a CT scan was done for selected cases.

Results: Road traffic accident was the most common mode of injury accounting for 76% cases. 36% of the cases were in the third decade of their lives. Spleen was the most common injured organ accounting for 52% of the cases.

Conclusions: Solid organs like spleen and liver were more commonly injured in blunt injury to abdomen than the other organs like mesentery, retroperitoneum, bladder etc.


Allen RB, Curry AS. Abdominal trauma: a study of 297 consecutive cases. Am J Surg. 1957;93:398-404.

Brasel KJ, Olson CJ, Stafford RE, Johnson TJ. Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma. J Trauma. 1998;44(5):889-92.

Dauterive AH, Flancbaum L, Cox EF. Blunt intestinal trauma. A modern-day review. Ann Surg. 1985;201:198-203.

Davis JJ, Cohn I, Mance FC. Diagnosis and management of Abdominal trauma due to child abuse. J Trauma. 1986;26:46-9.

DiVincenti FC, Rives JD, Laborde JE, Fleming ID, Cohn I Jr. Blunt Abdominal Trauma. J Trauma. 1968;8:1004-13.

Feliciano DV. Diagnostic modalities in abdominal trauma. Peritoneal lavage, ultrasonography, computed tomography scanning, and arteriography. Surg Clin North Am. 1991;72:241-56.

Fitgerald JB, Crawford ES, DeBakey ME. Surgical consideration of non-Penetrating abdominal injuries. Am J Surg. 1960;100:22-9.

Goldman LI, De Laurentis DA, Rosemond GP. Penetrating abdominal wounds in a civilian population. Am J Surg. 1962 Jul 1;104(1):46-51.

Holmes JF, Offerman SR, Chang CH, Randel BE, Hahn DD, Frankovsky MJ, et al. Performance of helical computed tomography without oral contrast for the detection of gastrointestinal injuries. Ann Emerg Med. 2004;3(1):120-8.

Jain BC, Jolly S, Cyadhyay M. Blunt abdominal trauma. A clinical study of 100 cases. Ind Jr of Surg Jan. 1993;66:290-3.

Jansen JO, Yule SR, Loudon MA. Investigation of blunt abdominal trauma. BMJ. 2008;336(7650):938-42.

Kar S, Mohapatra V, Rath PK. Isolated mesenteric vascular injury following blunt abdominal trauma leading to massive segmental gangrene of small gut: a case report. J Clin Diagn Res. 2016;10:PD16-PD17.

Martin JG, Shah J, Robinson C, Dariushnia S. Evaluation and Management of Blunt Solid Organ Trauma. Tech Vasc Interv Radiol. 2017;20:230-6.

Mukhopadhyay M. Intestinal injury from blunt abdominal trauma. Oman Med J. 2009;24(4):256-9.

Shanmuganathan K. Multi-detector row CT imaging of blunt abdominal trauma. Semin Ultrasound CT MR. 2004;25(2):180-204.

Siddique MAB, Rahman MK, Hannan ABMA. Study on abdominal injury: analysis of 50 cases. TAJ. 2004;17(2):84-6.






Original Research Articles