Institutional experience of bullock cart and bull gore injuries in children
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 8, Issue 2
Abstract
Background: Bullock cart and bull gore injuries are among the commonest accidents in rural India, where people make their living rearing the livestock. The injuries sustained are penetrating injuries caused by horns of the animals and blunt injuries sustained by bullock carts usually on chest and abdomen. The condition is usually associated with high mortality and morbidity due to multiple injuries. Aim of the study: To study the incidence of trauma in children due to bullock cart injuries and bull gore injuries referred to a tertiary care centre from January 2013 to June 2015.Materials and Methods: All children who presented with history of trauma due to bull gore and bullock cart injuries during the study period were admitted and managed in the department of paediatric surgery. Routine and specific investigations were done. They were managed according to the injuries sustained.Results:A total of 12 children were admitted with bullock cart or bull gore injuries during the study period. The patient age ranged from 2 to 11 years and there were 5 male and 7 female patients. Solid organ injuries were seen in seven cases, hollow viscus injury was seen in 2 cases. There was one case each of hemothorax; and pneumothorax with surgical emphysema. There was one case of diaphragmatic injury. Exploratory laparotomy and closure of hollow viscus perforation was done for the two cases. Intercostal drainage was done for hemothorax and pneumothorax patients. Solid organ injuries were managed conservatively. There was no mortality.Conclusion: Bullock cart and bull gore injuries are common in rural India. The lack of tertiary peadiatriccentres at district level delays the management. We propose early referral and thorough evaluation of these patients with CT or MRI and also keep in mind the late onset of complications that may arise due to blunt trauma.
Authors and Affiliations
ChangalaBabu Rao, Rajesh Mallepalli, P Sreenivas Reddy, Mohammed Bin Yehia, Kondal Reddy, Shwetha .
Keywords
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- EP ID EP444022
- DOI 10.26611/1014822
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