A Clinical Study of Blunt Trauma Abdomen with Respect to Management and Outcome in a Tertiary Care Hospital
Loading...
Date
2020-05
Journal Title
Journal ISSN
Volume Title
Publisher
International Society for Contemporary Medical Research
Abstract
Introduction: Following injury to the extremities and head,abdomen is the third most commonly injured part of the body.Blunt abdominal trauma (BAT) is particularly deceptivebecause of the delay in clinical manifestations for hours oreven days, even though the damage to the internal organsmight be serious and lethal. Road traffic accident (RTA) isthe most common mode of injury to cause BAT. Diagnosticmodalities like FAST and CT scans have caused a significantchange in the trends regarding management from surgical to amore conservative approach. Current research aimed to studythe blunt trauma abdomen with respect to management andoutcome in a tertiary care hospital.Material and methods: This observational study is basedon 50 cases of BAT who presented in Rohilkhand MedicalCollege & Hospital with respect to clinical presentation,investigations, management and outcome. Results andoutcomes will be depicted in various tables.Results: In the present study, demographic data like age andsex, the mode of injury, presenting Hb (in gm%), commonlyinjured organs, the management done and the associatedmortality was observed and compared. It was found that BATcommonly involves young males in the age group of 30-40years. RTA is found to be the most common mode of injury.Spleen was the most commonly injured solid organ followedby liver. Hollow viscus injury was seen in 10 out of 50 patientsin our study. Conservative management was done in 37 out of50 patients. Mortality was observed in 3 out of 50 cases.Conclusion: The study was conclusive of the fact that youngmales who sustained BAT due to RTA were the most commonlyaffected group. It also was conclusive that spleen and liver arethe most commonly injured organs in BAT and conservativemanagement should be followed wherever possible. Mortalitywas significantly higher in patient presenting with decreasedhemoglobin.
Description
Keywords
Citation
Agrawal Chandar, Jindal Rishi, Mukherjee Sujoy. A Clinical Study of Blunt Trauma Abdomen with Respect to Management and Outcome in a Tertiary Care Hospital . International Journal of Contemporary Medical Research . 2020 May; 7(5): e13-e16