Blunt abdominal trauma in Calabar

Asuquo, Maurice E.; Nwagbara, Victor; Akan, Inyang; Ugare, Gabriel

doi:10.4314/njssci.v16i1.38367

Cited by 4 publications

(9 citation statements)

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“…This is in keeping with an earlier report from this center and other centers [1,2,4,5]. They constitute an active, aggressive, and productive segment of the population, with greater mobility and increased risk of accidents.…”

Section: Discussionsupporting

confidence: 75%

“…This is in keeping with other studies [2][3][4][5]. All of the patients in the laparotomy group had total splenectomy on account of the severity of injury (Types IV and V) [16] and diseased spleen adjudged not suitable for conservation.…”

Section: Discussionsupporting

confidence: 63%

“…All of the patients in the laparotomy group had total splenectomy on account of the severity of injury (Types IV and V) [16] and diseased spleen adjudged not suitable for conservation. This study is at variance with an earlier study in this hospital where most splenic injuries were common in the pediatric age group [4]. This may be due to less automobile-pedestrian accidents involving children from the separation of automobile-pedestrian traffic by the construction of walkways along major roads and the regulation of automobile speed, along with the introduction of bumps across the road at strategic locations.…”

Section: Discussioncontrasting

confidence: 54%

“…Blunt abdominal trauma (BAT) usually results from motor vehicle accidents, assaults, and recreational accidents or falls [3]. Road traffic injuries remain a major source of BAT, men tend to be affected slightly more often than women, and the spleen is the most commonly injured organ [3][4][5][6]. Vehicular trauma is by far the leading cause of BAT in the civilian population; autoto-auto and auto-to-pedestrian collision have been cited as causes in 50-75% of cases [3].…”

Section: Introductionmentioning

confidence: 99%

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A Prospective Study of Blunt Abdominal Trauma at the University of Calabar Teaching Hospital, Nigeria

et al. 2009

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Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 63%

Section: Discussioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

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A Prospective Study of Blunt Abdominal Trauma at the University of Calabar Teaching Hospital, Nigeria

et al. 2009

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“…BAT affected mainly young patients (mean age 27.0 years). This is in keeping with an earlier report from this centre and other centers in Nigeria [12][13][14]. They constitute an active and productive segment of the society with greater mobility with increased risk of accident.…”

Section: Discussionsupporting

confidence: 90%

NonOperative Management of Blunt Solid Abdominal Organ Injury in Calabar, Nigeria

Asuquo¹,

Okon²,

Anietimfon³

et al. 2010

IJCM

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Background: Over the past several years, nonoperative management has been increasingly recommended for the care of selected blunt abdominal trauma patients with solid organ injuries. Objective: To evaluate the pattern and outcome of blunt abdominal trauma using haemodynamic stability and ultrasonography in the selection of patients for nonoperative management in a facility without computed tomogram. Methods: Patients admitted with blunt abdominal trauma between February 2005 and January 2010 were prospectively studied. Haemodynamic stability and sonography formed the basis for selecting patients for nonoperative management. Results: In total, 58 patients suffered blunt abdominal trauma and 19(33%) patients were successfully managed nonoperatively suffered blunt solid abdominal organ injuries. Road traffic accidents inflicted 17(89%) patients while 2(11%) patients sustained sports injury (football). The spleen was the commonest solid organ injured 12(60%), while the liver and kidney were injured in 6(30%) and 2(10%) respectively. Associated injuries were fractured left femur recorded in 3(16%) patients and fractured rib in a patient (5%). Conclusion: Nonoperative treatment is a safe and effective method in the management of haemodynamically stable patient with blunt solid abdominal organ injury. This translated to a reduction in hospital stay, absence of the risk of blood transfusion as well as attendant morbidity and mortality associated with laparotomy. Establishment of trauma system, provision of diagnostic and monitoring facilities, good roads, and education on road safety is recommended for improved outcome

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Frequency and Pattern of Intra-Abdominal Injuries in Patients with Blunt Abdominal Trauma

Ahmed¹

2014

J Trauma Treat

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Introduction: Trauma is the most common cause of mortality among the age group 1-45 years, causing loss of productive days more than other notorious diseases, such as cardiovascular diseases and malignancies. This study was conducted to describe the frequency and pattern of intra-abdominal injuries in patients with blunt abdominal trauma. Method:This was an observational study on blunt abdominal injury, which was conducted in surgical unit III, of Jinnah Post-Graduate Medical centre, Karachi. Study included a total of 50 cases of blunt abdominal trauma (data including from July, 2012 to November, 2012). These cases were above the age of 12 years and of both sexes, who came to Accident and Emergency department.Results: Study included 41 (82%) male and 9 (18%) female patients with ratio of 5.4:1 respectively. There were 15 (30%) patients who suffered from hepatic injuries. Thirteen patients (26%) had splenic injuries. Intestine (from stomach to anal canal) was injured in 11 patients (22%), five patients were with injured small intestine, 2 with stomach and duodenum and rest of the 4 with large gut injuries. Pancreas was injured in 2(4%) patients. Mesenteric tear was found in 3 (6%) patients and 2 (4%) had ruptured diaphragm. Five patients (10%) had retroperitoneal hemotoma. Renal injury was recorded in 3 (6%) patients and 2 patients had urinary bladder injuries. Conclusion:No abdominal organ is safe from injury. Solid organs are injured more in blunt abdominal trauma. In this study, liver is the organ most commonly injured in blunt abdominal trauma followed by spleen, gut, retroperitoneal hematoma and other organs.

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Blunt abdominal trauma in Calabar

Cited by 4 publications

References 0 publications

A Prospective Study of Blunt Abdominal Trauma at the University of Calabar Teaching Hospital, Nigeria

A Prospective Study of Blunt Abdominal Trauma at the University of Calabar Teaching Hospital, Nigeria

NonOperative Management of Blunt Solid Abdominal Organ Injury in Calabar, Nigeria

Frequency and Pattern of Intra-Abdominal Injuries in Patients with Blunt Abdominal Trauma

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