A Clinical Study of Blunt Trauma Abdomen in a Tertiary Care Hospital of Uttarakhand

  • Mohit Goyal Dehradun, Uttarakhand, India
  • Lalit Kumar Uttarakhand, India
  • Dhananjay Dobhal Dehradun, Uttarakhand, India
Keywords: Blunt trauma abdomen, Trauma, Liver, Spleen, Early diagnosis, Road traffic accidents

Abstract

Background: Blunt abdominal injuries are met more often nowadays due to increased industrialization and a greater number of vehicles, and is the third most common form of injury in road traffic accidents (RTAs) after orthopedic injuries and head injuries. Blunt injury to the abdomen can also occur as a result of fall from height, assault with blunt object and sports injuries, etc. Blunt trauma abdomen is seen in increasing number in the emergency department and therefore, the early diagnosis and treatment are very important and crucial for patients.
Methods: The study was carried out from January 2018 to December 2019. A total of 100 patients were studied. After detailed clinical history, physical examination various investigations such as complete blood count, X-rays, ultrasound of the abdomen, and computed tomography scan of the abdomen were done to complete the diagnosis. Then, data were statically analyzed.
Results: In our study, male patients were commonly affected (73%). The younger population between the age group of 18 and 40 years was predominantly affected (73%). The common mode of injury was RTAs (62%). The organ that was found to be most commonly injured in our study was the liver (27%) than spleen (22%). About 59% patients were managed conservatively while 41% were operated. The most common cause of death was cardiorespiratory failure followed by septicemia.
Conclusions: This research article shows that blunt injury abdomen is a major cause of morbidity and mortality in young age patients with RTA being the most common cause. Patients that are received in the emergency department should be given immediate attention and a quick and thorough evaluation of the patient must be done. Early diagnosis reduces the mortality rates and plays a major role in good outcome and lead to successful treatment in these patients.

Author Biographies

Mohit Goyal, Dehradun, Uttarakhand, India

1Associate Professor, Department of Surgery, Government Doon Medical College, 

Lalit Kumar, Uttarakhand, India

2Head and Professor, Department of Forensic Medicine, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, 

Dhananjay Dobhal, Dehradun, Uttarakhand, India

3Assistant Professor, Department of Surgery, Government Doon Medical College, 

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Published
2020-06-19