An Audit of Management of Cases of Blunt Trauma Abdomen Resulting in Solid Organ Injury in a Tertiary Hospital Mumbai
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Background: In an age of speeding, road rage and increasing traffic accidents the incidence of trauma as a whole and subsequently blunt abdominal trauma, is on the rise. It’s a major cause of mortality and morbidity in the 15-44 years age group. Identification of serious intra-abdominal pathologies many times requires a high index of suspicion and appropriate, timely investigation as they may not manifest during initial period of injury. Methodology: This was a prospective study of blunt abdominal injuries conducted during the period from May 2011 to October 2013 at KEM Hospital Surgery Department. All the cases visited during this period formed the sample. Initial data - the history in detail, clinical examination and investigation results were recorded as per the case record form. Line of management of the patient- whether operative or conservative - was according to the decision and clinical discretion of the on-call/managing surgical unit. The patient was followed up till discharge/death. Result: Majority patients were in the age group of 21-40 years, accounting for 61%. 46% of blunt abdominal trauma from road traffic accident, 36% were due to fall from height. Out of the 82 who were conserved, 5 required nonoperative intervention. 16.67% with splenic trauma patients and 10.5% of liver trauma patients needed surgical intervention, the rest being successfully conserved. Conclusion: Most cases of blunt abdominal trauma were from road traffic accident and fall injuries. Most of the patients had associated injuries. Spleen was the most common organ involved followed by liver. Computed tomography is the gold standard for diagnosis of abdominal injuries in patients of trauma.
Authors and Affiliations
G Anuradha, Shilpa A Rao
Keywords
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