Solid Organs Injuries in Blunt Abdominal Trauma Patients

Abstract

Background: Trauma is a major public health problem worldwide, morbidity and mortality in solid organ injuries (SOIs) following blunt abdominal trauma are often related to the severity of associated injuries. The management of SOIs depends upon the hemodynamic status of the patients. Hemodynamically unstable patients often require surgical management. Nonoperative management (NOM) is preferred in hemodynamically stable patients. Objective: This study was conducted to detect both incidence of solid organs injuries in blunt abdominal trauma patients and pattern of injuries as well as outcome in operative management comparing to non-operative management patients. Patients and methods: During the study period, total number of 6908 polytrauma patients presented to Mansoura University Emergency Hospital. Among them 685 (9.9%) presented by abdominal trauma. There were 173 cases with penetrating abdominal trauma and 512 cases with blunt abdominal trauma (BTA). Among the cases with BAT, 268 cases were excluded and the remaining 244 were included in the current study. Results: The most common cause of trauma was road traffic accidents (RTA) (64.3%) of the cases. Solid organs were affected in (70.1%) of the cases, bowels and other abdominal organs were affected in (24.2%), combined solid organs and other abdominal injuries were detected in (5.7%) of the cases. Spleen was the most affected organ in 55.1% of the cases. Total operative management (OM) was required in 70 cases (37.8%) and total NOM was required in 115 cases (62.2%). The overall incidence of mortality was 5.4%. There was no statistically significant difference in the length of hospital stay between the cases according to management (operative or non-operative). Conclusion: Hemodynamically stable blunt abdominal trauma with solid organ injury may be managed safely using a NOM approach.

Computed tomography benefits and cost in hemodynamically stable patients with blunt abdominal trauma at an Egyptian University Hospital

“…In Egypt, the incidence of trauma is on the rise, primarily attributed to road traffic crashes (RTC), with males being disproportionately affected. Studies in Egypt found that males comprised 78–88 % of abdominal trauma cases [3] , [4] , [5] , [6] .…”

Management and Outcomes of Traumatic Liver Injury: A Retrospective Analysis from a Tertiary Care Center Experience

“…Trauma is a substantial global public health issue and a leading cause of death, hospital admissions, and long-term disability during the first four decades of life. Additionally, it ranks among the primary causes of mortality across all age groups [1,2]. Specifically, abdominal trauma ranks as the second leading cause of death among polytrauma patients, trailing head trauma as the primary cause and proceeding thoracic injuries [1].…”

“…Abdominal trauma is generally divided into two main categories: blunt or penetrating. The ramifications of blunt trauma can extend to any organ, and its consequences may not always be clinically apparent, necessitating a careful and thorough investigation [2]. The primary causes of blunt abdominal injuries often involve incidents like motor vehicle accidents, falls from elevated heights, and physical attacks, among other possibilities.…”

Successful nonoperative management of a simultaneous high-grade splenic injury and devascularized kidney in Australia: a case report

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