Study of pattern and management strategies of solid visceral injuries in blunt trauma abdomen in tertiary care centre


  • Surender Verma Department of Surgery, PGIMS, Rohtak, Haryana, India
  • M. Taquedis Noori Department of Surgery, PGIMS, Rohtak, Haryana, India
  • Pradeep Garg Department of Surgery, PGIMS, Rohtak, Haryana, India
  • Anuj Yadav Department of Surgery, PGIMS, Rohtak, Haryana, India
  • Vivek Sirohi Department of Surgery, PGIMS, Rohtak, Haryana, India
  • Neha Garg Department of Surgery, PGIMS, Rohtak, Haryana, India



Shock, Hemodynamic instability, Liver injury


Background: Blunt trauma abdomen is a leading cause of morbidity and mortality among all age groups. In spite of the best techniques and advances in diagnostic and supportive care, the morbidity and mortality still remain large. The aim was to evaluate pattern and management strategies of solid visceral injuries in blunt trauma abdomen patients.

Methods: This was a prospective study on 100 consecutive patients admitted in Department of General Surgery at a tertiary care center with an antecedent history of blunt abdominal injury. All patients proven to have penetrating injury and hollow viscus injury were excluded. The pattern of injury, presentation and parameters associated with management strategies were evaluated.

Results: In the present study, solid viscera injury in blunt trauma abdomen is more common in age group 21-30 years (43%) with male predominance (92%). RTA (75%) were the most common mode of injury followed by fall. Most common clinical presentation was abdominal pain (86%) followed by tachycardia (34%) and hypotension (6%). Most common viscera injured is liver (48.2%) followed by spleen (36.7%), kidney (12.3%) and pancreas (2.8%). Majority of patients were managed conservatively (84%).

Conclusions: It was concluded from the study that irrespective of the solid organ injury in blunt trauma abdomen, patients can be managed conservatively due to aggressive resuscitation with supplement drug therapy, use of analgesia or sedation in ICU setup and close monitoring. Patients are grossly hemodynamically unstable at presentation do require intervention either immediate or in due course of time.


Ministry of Health and Family Welfare. Integrated Disease Surveillance Project - Project Implementation Plan 2004-2009. New Delhi: Government of India; 2004:1-18.

Raza. Non operative management of abdominal trauma: a 10 years review. World J Emergency Surg. 2013;8:14.

Schroeppel TJ, Croce MA. Diagnosis and management of blunt abdominal solid organ injury. Curr Opin Crit Care. 2007;13:399-404.

Velmahos GC, Toutouzas KG, Radin R, Chan L, Demetriades D. Nonoperative treatment of blunt injury to solid abdominal organs: a prospective study. Arch Surg. 2003;138:844-51.

Piper GL, Peitzman AB. Current management of hepatic trauma. Surg Clin N AM. 2010;90:775-85.

Badger SA, Barclay R, Campbell P, Mole DJ, Diamond T. Management of liver trauma. World J Surg. 2009;33:2522-37.

Panchal HA. The study of abdominal trauma: patterns of injury, clinical presentation, organ involvement and associated injury. Int Surg J. 2016;3(3):1392-8.

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

Smith J, Caldwell E, Amours DS, Jalaludin B, Sugrue M. Abdominal trauma: a disease in evolution. ANZ J Surg. 2005;75:790-4.

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.

Solanki HJ. Blunt abdomen trauma: a study of 50 cases. Int Surg J. 2018;5(5):1763-9.

Ayoade BA, Thanni LO, Oladipupo SO. Abdominal injuries in Olabisi Onabanjo University teaching hospital Sagamu, Nigeria: Pattern and Outcome. Nigerian J Orthop Trauma. 2006:5(2):45-9.

Mehta N, Babu S, Venugopal K. An experience with blunt abdominal trauma: evaluation, management and outcome. Clin Pract. 2014;4(2):599.






Original Research Articles