A retrospective clinical study on blunt trauma abdomen and its management

Rahman, Shahanur; Das, Partha Pratim

doi:10.18203/2349-2902.isj20182778

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…About half of the patients sustained RTA (48%) followed by assault (30%) and self-fall (22%) in the present study.Anarase and Anarase (2019) also found that road trafc accidents were the predominant cause of trauma. In the study by Rahman and Das (2018), the most common cause of BAT was found to be road trafc accidents (67%) which was slightly higher than the present study. Shah et al (2017) also found that road trafc accident was responsible for 79.4% of blunt abdominal trauma cases.…”

Section: Discussioncontrasting

confidence: 78%

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A Clinical Study of Blunt Traumaabdomen With Respect to Management and Outcome at Gmc, Bettiah, Bihar

Kumari¹,

Reyaz²,

Narayan³

et al. 2020

ijsr

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Background: Following injury to the extremities and head, abdomen is the third most commonly injured part of the body. Blunt abdominal trauma (BAT) is particularly deceptive because of the delay in clinical manifestations for hours or even days, even though the damage to the internal organs might be serious and lethal. Road traffic accident (RTA) is the most common mode of injury to cause BAT. Diagnostic modalities like FAST and CT scans have caused a significant change in the trends regarding management from surgical to a more conservative approach. Current research aimed to study the blunt trauma abdomen with respect to management and outcome in GMC, Bettiah, W. Champaran, Bihar. Material and methods: This observational study is based on 50 cases of BAT who presented in Department of Surgery, Govt. Medical College & Hospital, Bettiah, Bihar with respect to clinical presentation, investigations, management and outcome. Results and outcomes will be depicted in various tables. Results: In the present study, demographic data like age and sex, the mode of injury, presenting Hb (in gm%), commonly injured organs, the management done and the associated mortality was observed and compared. It was found that BAT commonly involves young males in the age group of 30-40 years. RTA is found to be the most common mode of injury. Spleen was the most commonly injured solid organ followed by liver. Hollow viscus injury was seen in 10 out of 50 patients in our study. Conservative management was done in 37 out of 50 patients. Mortality was observed in 3 out of 50 cases. Conclusion: The study was conclusive of the fact that young males who sustained BAT due to RTA were the most commonly affected group. It also was conclusive that spleen and liver are the most commonly injured organs in BAT and conservative management should be followed wherever possible. Mortality was significantly higher in patient presenting with decreased hemoglobin.

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Section: Discussioncontrasting

confidence: 78%

“…Common surgeries performed in the studied cases included splenectomy (28.57%), primary closure of perforation (23.80%) and resection and anastomosis (19.04%). Rahman and Das (2018) showed that 53.52% of patients having solid organ injured were managed conservatively. Out of 60 operative cases, 25 (41.7%) cases were operated within 3-6 hours.…”

Section: Discussionmentioning

confidence: 99%

A Clinical Study of Blunt Traumaabdomen With Respect to Management and Outcome at Gmc, Bettiah, Bihar

Kumari¹,

Reyaz²,

Narayan³

et al. 2020

ijsr

View full text Add to dashboard Cite

show abstract

“…Youngest age involved is 18 years and oldest one being 70 years. The most common age group affected belongs to 21-30 years forming 38.1% of the total incidence followed by 31-40years constituting 21.4% which is similar to study done by Mehta et al, Yogesh et al and Rahman et al [10][11][12] This shows that young population which is more vulnerable to RTA, thus leading to loss of young productive group of the people.…”

Section: Age Distributionsupporting

confidence: 85%

“…The most common mode of injury, following road traffic accident was found to be 78.6% which is consistent with Rahman et al with 67%, Mehta et al with 53% and Peyman et al with 80.6%. 10,11 Mehta et al says increase in the incidence of RTA is because of easily procurable of vehicles, daily migration to urban area for livelihood, unaccustomed to traffic, traffic sense and ignorance of safety measures. 11 The other mode of injury includes fall from heights which is 14.3% which is comparable to the Rahman et al As our hospital is rural based referral centre hence bull butt injuries are other mode of injury leading to the blunt trauma abdomen.…”

Section: Mode Of Injurymentioning

confidence: 99%

Effectiveness of clinical abdominal scoring system in the management of patients with blunt trauma abdomen

Kumar

2021

Int Surg J

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Background: Abdominal injury being the most common cause of mortality and morbidity, its incidence comes after extremities and head injury. Early diagnosis and treatment can reduce mortality by upto 50%. The common causes for blunt trauma abdomen include motor vehicle crashes, direct trauma and fall from heights. Objectives of the current investigation were to score the patients with BTA with clinical abdominal scoring system and to compare the score of CASS with USG/CT abdomen and pelvis findings in patients of BTA. Methods: All patients who are suspected to have BTA were scored using CASS and radiological investigations were done in the ED. The decision to proceed with the surgery would be done if the patient had CASS >12 and/or if the radiological investigation shows features of BTA like air under diaphragm or grade IV/V solid organ injury.Results: Males accounts for 81% of cases and the rest being females. Most common mode of injury was found to be RTA. Most common injured organs are spleen >liver >small intestine (ileum). The CASS has specificity of 84.62%, sensitivity of 99.2%, PPV 33.3%, NPV 100%. Total mortality in the study was 7.1%Conclusions: Patients with CASS of <8 can be managed conservatively. Patient with score >12 or hemodynamically unstable can be taken up for emergency laparotomy without any delay. Patients with CASS between 9 and 11, with good clinical assessment aided with radiological investigations can be managed depending upon the severity of the injury.

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“…A statistically significant (P <0.001) association was found between age of patients and cause of trauma, that RTA was more common in age 20-to-70-year, Table 4. 18,19 Other studies 20 with the same findings of more young male involvement in trauma accidents found a relationship to alcohol and drug misuse in this group of victims however this influence was not studied in our study . Anarase and Anarase 18 found that RTAs were the most common cause of trauma.…”

Section: Figure 1 Frequency Of Traumamentioning

confidence: 40%

A prospective evaluation of computerized tomography scan findings in blunt abdominal trauma

2023

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Background and objective: Evaluating patients with blunt abdominal trauma remains one of the most challenging aspects of acute trauma care. CT scan of abdomen remains the standard imaging modality for evaluation of abdominal trauma cases. The aim of this study is to evaluate CT scan findings in blunt abdominal trauma victims with respect to solid organ injuries, hollow viscus injuries, associated thoracic and abdominal wall injuries, associated hemoperitoneum, cause of injury and type of management. Methods: A cross-sectional study was conducted among 96 hemodynamically stable patients with history of blunt abdominal trauma who underwent CT scan examination in Rozh-halat Emergency Hospital from June 2021-January 2022; using a 64 multi-detector helical slice CT scanner. Data analysis were performed on patient’s demographics, mode and type of injury, CT scan findings and severity scorings, associated injuries and type of management. Results: The mean age of enrolled cases was 28.6 ± 18.6 ranged from 4-70 years. About two third (63.5%) were males and one third were females (36.5%). The most common cause of trauma was road traffic accident (64% of cases). Out of 96 trauma cases; 87.5% of patients had positive CT findings of which 50% had hemoperitoneum, 21.9% had pneumoperitoneum, 66.7% had no hallow viscous involvement, while 33.2% had hollow viscus involvement. One third of cases had associated abdominal wall injury. 56.4% of patients had multiple organ injury. Regarding solid organ injury; 66.7% of cases had spleen injury, (36.5%) had liver injury, Pancreas was involved in 12.5% of cases. RT& LT – kidneys showed grade 2 injury in (9.4%) & (6.3 %) respectively. Half of patients with positive CT scan findings had no lower chest injury findings. This study showed that 43.8% of cases were managed conservatively, 45.9% underwent laparotomy, the incidental finding of intra-operative hemoperitoneum which was negative in CT scan was only 1%. Conclusion: CT imaging is the diagnostic tool of choice for the evaluation of blunt abdominal trauma in haemo-dynamically stable patients as it can assist in detecting and evaluating other co-existing injuries such as lower thoracic, pelvic and spine injuries apart from its main role in accurate identification of intra -abdominal injuries and associated bleeding.

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A retrospective clinical study on blunt trauma abdomen and its management

Cited by 5 publications

References 7 publications

A Clinical Study of Blunt Traumaabdomen With Respect to Management and Outcome at Gmc, Bettiah, Bihar

A Clinical Study of Blunt Traumaabdomen With Respect to Management and Outcome at Gmc, Bettiah, Bihar

Effectiveness of clinical abdominal scoring system in the management of patients with blunt trauma abdomen

A prospective evaluation of computerized tomography scan findings in blunt abdominal trauma

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