A study of blunt injury abdomen in patients attending the emergency department in a tertiary hospital

Vikram Yogish; P. S. Venkateswaran; C. Rajkamal

doi:10.18203/2349-2902.isj20160217

Authors

Vikram Yogish Department of General Surgery, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India
P. S. Venkateswaran Department of General Surgery, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India
C. Rajkamal Department of General Surgery, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20160217

Keywords:

Blunt injury abdomen, Road traffic accidents, Male patients, Younger population, Spleen

Abstract

Background: Blunt injury to the abdomen is encountered more often these days due to rapid industrialization and the presence of more number of vehicles, thus leading to more number of accidents. Blunt injury to the abdomen can also occur as a result of fall from height, assault with blunt objects, sports injuries, and bomb blasts. Blunt injury abdomen is seen in increasing frequency in emergency rooms and therefore, the early diagnosis and treatment of the patient is very important.

Methods: The study was carried out from July 2012 to June 2015. A total of 60 patients were studied. A thorough history and clinical examination of the patients were carried out. Then, various investigations such as Complete Blood Count (CBC), X-Rays, ultrasound of the abdomen and CT scan of the abdomen were done, in order to arrive at the diagnosis.

Results: In our study, male patients were commonly affected (75%). The younger population between the age group of 21 - 30 years were predominantly affected (45%). The common mode of injury was road traffic accidents (53.3%). The organ that was found to be most commonly injured in our study was the spleen (46.6%).

Conclusions: This research article shows that, blunt injury abdomen is still a major cause of morbidity and mortality in the general population. Patients that are received in the emergency department of a trauma care center should be given immediate attention and a quick and thorough evaluation of the patient must be done.

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References

Sabiston’s Text book of surgery. 2012:19(1):455-9.

Davis JJ, Cohn I, Nance FC. Diagnosis and management of Blunt abdominal trauma. Ann Surg. 1976;183(6):672-8.

Schwab CW. Selection of non-operative management candidates. World J Surg. 2001;25:1389-92.

Scalea TM, Rodriguez A. Focused assessment with Sonography for Trauma (FAST): result from an international consensus conference. J Trauma. 1999;46:466-72.

Isenhour JL, Marx J. Advances in abdominal trauma. Emerg Med clin North Am. 2007;25:713.

Olinde HDH. Non penetrating wounds of the abdomen: a report of 47 cases with review of lite¬rature. South Med J. 1960;53:1270-2.

Marmorale C, Guercioni G, Siquini W. Non-operative management of blunt abdominal

injuries. Chir Ital. 2007;59(1):1-15.

Peitzman A, Ferrada P, Puyana J. Nonoperative management of blunt abdominal trauma: have we gone too far? Surg Infect (Larchmt). 2009;10(5):427-33.

Swift C, Garner J. Non-operative management of liver trauma. J R Army Med Corps. 2012;158(2):85-95.

Santucci RA, Wessells H, Bartsch G, Descotes J, Heyns CF, McAninch JW et al. Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee. BJU Int. 2004;93:937-54.

Cerise EJ, Scully JH. Blunt trauma to the small intestine. The Journal of Trauma. 1970;10(1):46-50.

Root HD. Hollow visceral injuries in Advances in Trauma KI, Maull Ed. Year Book Medical Publishers, Chicago, Ill, USA. 1987;2.

Chen ZB, Zhang Y, Liang ZY, Zhang SY, Yu WQ, Gao Y. Incidence of unexplained intra-abdominal free fluid in patients with blunt abdominal trauma. Hepatobiliary Pancreat Dis Int. 2009;8(6):597-601.

Heyn J, Ladurner R, Ozimek A. Diagnosis and preoperative management of multiple injured patients with explorative laparotomy because of blunt abdominal trauma. Eur J Med Res. 2008;13:517-24.

Bouras A, Truant S, Pruvot F. Management of blunt hepatic trauma. J Visc Surg. 2010;147(6):e351-8.

Cox EF. Blunt abdominal trauma. A 5 year Analysis of 870 patients requiring Celiotomy. Ann Surg. 1984;199:467-74.

Allen RB, Curry GJ. Abdominal Trauma. Am J Surg. 1957;93:398-404.

Hackam DJ, Ali J, Jastaniah SS. Effects of other intra-abdominal injuries on the diagnosis, management, and outcome of small bowel trauma. The Journal of Trauma. 2000;49(4):606-10.