INTRODUCTIONBlunt injury to abdomen is one of the most common injuries caused by road traffic accidents. It can also result from fall from height, assault with blunt objects, industrial mishaps, sport injuries, bomb blast etc. The rapid deceleration cause the shearing force to tear tissues at interfaces between tissues that are relatively fixed compared to surrounding structures or crush the tissues between external force and vertebral column or rapidly raise the intra-abdominal pressure from external compression causing rupture of hollow organs. The advent of newer imaging techniques with high resolution Computerised Tomography (CT) scanners has enabled the clinicians to exactly diagnose the extent of the intra-abdominal injuries. These injuries are commonly managed by surgery, but the shift to selective non operative management (NOM) of blunt injuries to abdominal solid organs is one of the most notable trends in the care of trauma. The increasing use of non-operative management is based on low failure rates reported in most of the retrospective studies.2 Preservation of the spleen was initially applied in paediatric trauma and later in adults with success rate of 90-95% in children and only 70-80% in adults. Non ABSTRACT Background: Blunt injury to abdomen is one of the most common injuries caused by road traffic accidents. The advent of newer imaging techniques with high resolution Computerised Tomography (CT) scanners has enabled the clinicians to exactly diagnose the extent of the intra-abdominal injuries. These injuries are commonly managed by surgery, but the shift to selective non operative management (NOM) of blunt injuries to abdominal solid organs is one of the most notable trends in the care of trauma. Methods:The present study is a prospective one to evaluate the outcome of non-operative management of blunt trauma abdomen conducted at Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Chennai from the month of April 2011 to September 2013. Results: Out of 50 cases, the most common organ to be injured was the liver (32 cases) and of which 27 cases were managed by non-operative method and it is statistically significant (p=0.008). Of the 50 patients, 15 patients got converted. 8 patients (16%) were converted due to fall in Hb, 6 patients (12%) converted due to fall in Hb and hypotension, and one patient (2%) was converted due to persistent fever and features of peritonitis. 35 patients were managed conservatively. 12 out of 15 patients (80%) who underwent laparotomy developed complications, in comparison only 5 out of 35 patients (15%) who were treated conservatively had complication. Conclusions: In our study, non-operative management was successful in 70% of the patients with good outcome.
No abstract
Duplication of the gastrointestinal tract is an uncommon congenital abnormality that can occur anywhere from the tongue to the anus. The duodenum is the least common location for such an abnormality, which usually manifests as a spherical cyst-like structure that can present as mechanical bowel obstruction, biliary obstruction or an abdominal mass, among other presentations. Such abnormalities are typically detected during childhood but here we report a case of duodenal duplication discovered as a complication of laparoscopic cholecystectomy in an adult.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.