Study of Clinical Profile and Management of Blunt Abdominal Trauma
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction: In today’s mechanized world Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. This study was conducted to evaluate cases of BAT with special emphasis on study of associated epidemiological factors, clinical profile and management strategies in patients presenting BAT. Material and Methods: We conducted this prospective study of 50 patients admitted to our institute with history of Blunt Abdominal Trauma. After appropriate resuscitative measures detailed history was taken followed by thorough clinical examination in all the patients. Demographic data, history, clinical and intraoperative findings, investigations and complications during hospital stay and during follow up visits were all recorded.The management was decided depending upon history, clinical examination and investigations. Results: Males were predominantly affected and most cases were between the age group of 11-40 years (76%). Majority of the patients (88%) presented with the complaint of abdominal pain followed by abdominal guarding (72%) and abdominal distension (52%). 29 (58%) patients were managed conservatively while operative interventions were required in 21 (42%) patients. Common surgeries performed in the studied cases included splenectomy (28.57%), primary closure of perforation (23.80%) and resection and anastomosis (19.04%). Majority of the patients (78%) were discharges within 10 days of admission. Conclusion: Blunt Abdominal Trauma is one of the important causes of morbidity and mortality in young adults. Immediate resuscitative measures, management of associated injuries and appropriate operative intervention are important parts of management of such cases.
Authors and Affiliations
Girish M Umare, Nitin Sherkar, A Motewar
Keywords
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