Traumatic gastrointestinal perforation following abdominal trauma: a study in tertiary care centre

Authors

  • Raheel Hussan Naqvi Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India
  • Gurbir Singh Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India
  • Taruna Saroch Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India
  • Sushant Trakroo Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2349-2902.isj20221898

Keywords:

Blunt abdominal trauma, Penetrating abdominal trauma, Gastrointestinal injury

Abstract

Background: The objective of this study was to determine the cause and anatomical distribution of traumatic gastrointestinal perforation and its management.

Methods: A prospective study was conducted in the department of general surgery in a tertiary care centre that has round the clock availability of all radiological investigations. A total 100 cases of the patients presenting with traumatic gastrointestinal injuries were enrolled in the study.

Results: Maximum number (52%) of patients were aged between 21-40 years of age with males to be the most vulnerable group. Most of the patients (86%) presented with blunt abdominal trauma. Road traffic accidents (RTA) (44%) and fall (42%) were the common causes of gastrointestinal injury. Most common site of injury was jejunum accounting for 66%. 72% of the patients underwent primary closure, 12% underwent resection anastomosis and 16% underwent ostomy.

Conclusions: RTA forms the most common mode of gastrointestinal injury. Blunt abdominal trauma is more common than penetrating abdominal trauma. Jejunum is the most commonly injured in gastrointestinal trauma. Early diagnosis and management are the key to decrease mortality and morbidity.

Author Biography

Raheel Hussan Naqvi, Department of Surgery, Government Medical College, Jammu, Jammu and Kashmir, India

Registrar surgery , department of surgery ,GMC jammu

References

Haagsma JA, Graets N, Bolliger I, Naghavi M, Higashi H, Mullany EC, et al. The global burden of injury: incidence,mortality, disability –adjusted life years and time trends from global burden of disease study 2013. Inj Prev. 2015;1-16.

Delany HM, Jason RS. General perspectives on Abdominal Injury. In: Abdominal Trauma: Surgical and Radiological Diagnosis by Springer Science and Business Media New York. 2012;1-8.

Pimentel SK, Sawczyn GV, Mazepa MM, Nars A, Collaca IA. Risk factors for mortality in blunt abdominal trauma with surgical approach. Rev Col Bras Cir. 2015;42:259-64.

Sule Z, Kidmas AT, Awani K, Uba F, Misauno M. Gastrointestinal perforation following blunt abdominal trauma. East Afr Med J. 2007;84(9):429-33.

Pimentel SK, Sawczyn GV, Mazepa MM, Nars A, Collaca IA. Risk factors for mortality in blunt abdominal trauma with surgical approach. Rev Col Bras Cir. 2015;42:259-64.

Memon MR, Sanghi AG, Abbasi SA, Memon AA. Role of laparoscopy in blunt abdominal trauma. RMJ. 2013;38:40-3.

Hawkins AE, Mirvis SE. Evaluation of bowel and mesenteric injury: role of multidetector CT. Abdominal Imaging. 2003;28(4):505-14.

Hoyt DB, Mossa AR. Abdominal Injuries, In: Cuschieri A, Giles GR, Mossa AR, Eds., Essential Surgical Practice. 1995;3:531-44.

Saghafinia M, Nafissi N, Motamedi MRK, Hashemzade M, Hayati Z, Panahi F. Assesment and outcome of 496 penetrating gastrointestinal warfare injuries. J Royal Army Medical Corps. 2010;156(1):25-7.

Troare A, Dembele B, Diakite I, Togo A, Kante L, Troare A, et al. Traumatic perforation of the small intestine in general surgery of the CHU Gabriel Toure. Surgical Science. 2017;8(9):414-21.

Bajiya PR, Jain S, Meena NL. Gastrointestinal perforation following blunt trauma abdomen: a study of 78 cases. Int J Med Sci Public Health. 2016;5:1225-8.

Pradhan A, Karthik A, Dwivedi V, Reza A. Traumatic gastrointestinal perforation- an overview of types and methods of management. IOSR-JDMS. 2019;18(12):26-45.

Mukhopadhyay M. Intestinal injury from blunt abdominal trauma: a study of 47 cases. OMJ. 2009;24(4):256-9.

Arslan S, Okur MH, Arslan MS, Aydogdu B, Zeytun H, Basuguy E, et al. Management of gastrointestinal perforation from blunt and penetrating abdominal trauma in children: analysis of 96 patients. Pediatr Surg Int. 2016;32(11):1067-73.

Downloads

Published

2022-07-26

Issue

Section

Original Research Articles