Study of the spectrum of splenic trauma in tertiary care centre in GMC Jammu
Keywords:Splenic trauma, FAST, CT scan, NOM, Splenectomy
Background: the aim of the study was to study the clinical presentations, modes of management and outcome in a patient with splenic trauma. Setting and design of study retrospective observational study conducted in a tertiary care hospital in GMC Jammu.
Methods: The study was done in the department of general surgery in a tertiary care centre that has round the clock availability of all radiological investigations. A total 50 cases of splenic trauma diagnosed by focussed abdominal sonography in trauma (FAST) or CT scan or per operatively were enrolled in the study.
Results: Maximum number (36%) of patients were aged between 31-40 years of age. Most of the patients (92%) presented with blunt abdominal trauma. RTA (40%) and fall (40%) were the common causes of blunt abdominal trauma. Maximum patients (36%) had grade III splenic injury.30% of the patients managed by NOM while 70% underwent splenectomy.
Conclusions: Patients with splenic injury (grade I-grade III) can be managed by NOM without increased morbidity and mortality through proper monitoring.
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