Blunt Trauma to the Abdomen

Morton, John H.; Hinshaw, J. Raymond; Morton, John J.

doi:10.1097/00000658-195705000-00012

Cited by 37 publications

(16 citation statements)

References 44 publications

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“…Commonest hollow viscus injury was small bowel injury. These results were consistent with other studies of David (13) and Morton et al (14) As noted in other reports, (15,16) jejunal or ileal trauma was usually located near the points of attachment at the ligament of Treitz and the ileocecal valve.…”

Section: Early Management Should Includesupporting

confidence: 93%

Blunt Abdominal Trauma- Scenario in North Coastal Andhra Pradesh

Rao¹,

Gopal²,

Sai³

2018

jemds

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BACKGROUND Blunt abdominal trauma is seen with increasing frequency in emergency rooms and continues to be associated with significant morbidity and mortality in spite of its improved recognition, diagnosis and management. Our experience in a tertiary care hospital has been reviewed to establish the patterns of injury and to assess the results of management. On the basis of this experience, it is possible to describe the most accurate and efficient means to establish a diagnosis, the diagnostic and operative procedures with the best results and the associated morbidity and mortality. MATERIALS AND METHODS This is a retrospective descriptive study, conducted from March 2016 to June 2017 on a total of 134 patients admitted with blunt abdominal trauma in the Department of General Surgery, King George Hospital, Visakhapatnam. This study aimed to investigate the signs and symptoms of the patients hospitalised due to blunt abdominal trauma and identify possible factors that affect morbidity and mortality. RESULTS Blunt abdominal trauma is very common in the age group of 30-40 years. More than 80% of the incidence showed male predominance. Solid organ injury, especially spleen followed by liver is the commonest intraoperative finding. Almost, 70% of the patients with blunt abdominal trauma were managed conservatively. Associated injuries like head injury were detrimental and contributed to significant mortality. CONCLUSION The incidence of blunt abdominal trauma is increasing. Correct diagnosis and proper management are dependent upon individual evaluation of each patient. The insidious nature of blunt abdominal injury is borne out by the fact that more than one-third of the "asymptomatic" patients had an abdominal organ injured. A high index of suspicion, adequate observation period and immediate intervention when necessary are therefore mandatory for proper care of patients with blunt abdominal trauma. Mortality and morbidity continue to be significant in blunt abdominal trauma.

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Section: Early Management Should Includesupporting

confidence: 93%

Blunt Abdominal Trauma- Scenario in North Coastal Andhra Pradesh

Rao¹,

Gopal²,

Sai³

2018

jemds

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“…Automobile accidents accounted for 53% of cases. This was equivocal with other studies conducted by Perry 8 and Morton et al 9 Thus prevention of accidents can decrease fatality.…”

Section: Discussionmentioning

confidence: 67%

An Experience with Blunt Abdominal Trauma: Evaluation, Management and Outcome

Mehta

Babu

Venugopal

2014

Clinics and Practice

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Blunt abdominal trauma (BAT) is a frequent emergency and is associated with significant morbidity and mortality in spite of improved recognition, diagnosis and management. Trauma is the second largest cause of disease accounting for 16% of global burden. The World Health Organization estimates that, by 2020, trauma will be the first or second leading cause of years of productive life lost for the entire world population. This study endeavors to evaluate 71 cases of BAT with stress on early diagnosis and management, increase use of non operative management, and time of presentation of patients. A retrospective analysis of 71 patients of BAT who were admitted in Kempegowda Institute of Medical Sciences hospital (KIMS, Bangalore, India) within a span of 18 months was done. Demographic data, mechanism of trauma, management and outcomes were studied. Most of the patients in our study were in the age group of 21-30 years with an M:F ratio of 3.7:1. Motor vehicle accident (53%) was the most common mechanism of injury. Spleen (53%) was the commonest organ injured and the most common surgery performed was splenectomy (30%). Most common extra abdominal injury was rib fracture in 20%. Mortality rate was 4%. Wound sepsis (13%) was the commonest complication. Initial resuscitation measures, thorough clinical examination and correct diagnosis forms the most vital part of management. 70% of splenic, liver and renal injuries can be managed conservatively where as hollow organs need laparotomy in most of the cases. The time of presentation of patients has a lot to do with outcome. Early diagnosis and prompt treatment can save many lives.

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“…The latter authors, however, found that the mortality in their series of 200 patients dropped from 19% in the early years to 3% in the latter part. Morton, Hinshaw & Morton (1957) found nine fatal cases of missed abdominal injury in a series of 120. There were two such patients in this series and there are few large reviews which do not show a similar experience.…”

Section: Discussionmentioning

confidence: 99%

Abdominal trauma: a report of 129 cases

Bates

1973

Postgraduate Medical Journal

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Blunt Trauma to the Abdomen

Cited by 37 publications

References 44 publications

Blunt Abdominal Trauma- Scenario in North Coastal Andhra Pradesh

Blunt Abdominal Trauma- Scenario in North Coastal Andhra Pradesh

An Experience with Blunt Abdominal Trauma: Evaluation, Management and Outcome

Abdominal trauma: a report of 129 cases

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