A Retrospective Study of Blunt Trauma Abdomen at Tertiary Care Hospital, Rims, Ranchi
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Abdominal trauma as a result of blunt and penetrating injuries to patients from a tertiary centre has an appreciable mortality rate from hemorrhagic shock and organ trauma and sepsis. This study was undertaken to know the demographic profile, cause of injury, management and outcome of blunt trauma cases in RIMS, Ranchi from March 2017 till March 2018. There were 60 No. of cases with blunt abdominal trauma. Most common age group was 20-30 years (21 No.) Male and female ratio was 4.5:1. Most common mode of injury was road traffic accident (43 No. of cases). Associated injuries were present in 17 cases. Diagnosis in all cases was done by FAST scan or CT scan abdomen. Bowel was the commonest organ injured with hemoperitoneum due to mesenteric tear, next was spleen. 45% cases underwent conservative management with a failure rate of 1.6% and 55% had operative (exploratory laparotomy). Mortality rate was 6.6%. Non-operative treatment was successful in most cases. Definitive indications for exploratory laparotomy were hemodynamic instability and peritonitis. FAST Scan abdomen in hemodynamically unstable patients and CECT in stable patients were investigation of choice. Associated injuries influence morbidity and mortality.
Authors and Affiliations
Dr. Samir Toppo, Dr. Anil Kumar Kamal, Dr. Jyoti Kumari
Keywords
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- EP ID EP421605
- DOI 10.9790/0853-1712024043.
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