The Incidence of Splenic Injury Following Blunt Abdominal Trauma (BAT), Sultan Qaboos University Hospital Experience

Al-Busaidi, Abdullah; Al-Shafei, Tariq; Al-Moqbali, Huda; Al-Kindi, Sara; Alsaadi, Mohammed; Albusaidi, N.; Al-Qadhi, Hani

doi:10.4236/ss.2017.87034

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Splenic damage can cause pain in the left hypochondrium, as well as pain in the left shoulder tip and widespread abdominal pain. Left lower chest damage has been observed in 43 percent of individuals with splenic injuries [3,4]. Whether there are other organ injuries, a higher injury severity score, and increased age, the likelihood of dying from a spleen injury increases.…”

Section: Introductionmentioning

confidence: 99%

“…Whether there are other organ injuries, a higher injury severity score, and increased age, the likelihood of dying from a spleen injury increases. Mortality rate following splenic damage is 6 percent to 10%, according to trauma facilities in North America [3,5]. The traumatic incident remains one of the leading causes of the mortality in people under the age of 40, and it reflects a long-standing clinical challenge with social and economic consequences, like the direct cost to society (treatment) and indirect cost to society (rehabilitation and loss of productivity) both influence the community and the person [6].…”

Section: Introductionmentioning

confidence: 99%

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Severity of Splenic Trauma and Its Surgical Outcome among Patients Presented at Liaquat University Hospital, Pakistan

Soomro¹,

Shah²,

Abro³

et al. 2022

JPRI

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Objective: To determine the severity of splenic trauma and its surgical outcome among patients presented with abdominal blunt trauma at surgical emergency of Liaquat University Hospital Jamshoro (Hyderabad) Material and Methods: This prospective case series study was conducted in the department of Surgery at Liaquat University Hospital Jamshoro, from December 2013 to November 2014. Patients having a diagnosis of abdominal trauma with a diagnosis of splenic injury, aged above 18 years and both genders were included. All the patients underwent surgical treatment as per indications. Patients were monitored during hospital stays to assess the outcome. A study proforma was employed to gather data and SPSS software version 20 was utilized for the analysis of it. Results: The study included 60 patients; their mean age was 28.3±12.4 years. Most of the cases 51(84.9%) were between 18 and 40 years of age. Males were predominant with a male to female ratio of 3.1:1. The majority of the cases (48.3% and 33.3%, respectively) had Grade III and Grade IV injuries, and none of our patients were diagnosed as Grade V by the scan. Overall among 30 cases, developed complications, particularly as 10 cases had pulmonary infection, 08 cases had intra-abdominal bleeding, wound infection was in 9 and 1 had developed over-whelming post splenectomy (OPSS). The overall mortality rate was 5.0%. Conclusion: Splenic trauma and its severity in patients having blunt abdominal trauma were observed to be the most frequent. A better outcome has been observed, and it is also depending on the immediate arrival, accurate diagnosis, surgeons' ability, and experience.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Severity of Splenic Trauma and Its Surgical Outcome among Patients Presented at Liaquat University Hospital, Pakistan

Soomro¹,

Shah²,

Abro³

et al. 2022

JPRI

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“…Patients may present with left upper quadrant pain associated with left shoulder pain or generalized abdominal pain. Hemodynamic instability is one of the most reliable signs indicating splenic injuries [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Splenic Heterogeneity in Focused Assessment With Sonography for Trauma (FAST) Scan Led to the Diagnosis of Grade 2 Splenic Injury in a Pediatric Blunt Abdominal Trauma

Alswaimil¹,

Alzahrani²,

Alfuraih³

et al. 2022

Cureus

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Splenic injuries are one of the most common injuries following blunt abdominal trauma. It occurs in 32% of blunt abdominal trauma, with motor vehicle accidents being the most common cause. The patient may present with generalized abdominal pain or left upper quadrant pain associated with left shoulder pain. Hemodynamic instability is one of the most reliable signs of splenic injuries. A focused assessment with sonography for trauma (FAST) scan is the initial imaging used to assess for solid organ injury in the abdomen, followed by computed tomography (CT) scans. Evidence of free fluid in the abdomen in the FAST scan indicates a solid organ injury. However, the absence of the before-mentioned finding does not rule out the presence of solid organ injury. Hereby a case of a 13-year-old Saudi male with left-sided abdominal pain after falling from a motorbike. A set of the investigation was done with insignificant results. However, FAST revealed a heterogenous appearance in the spleen. Thus, the patient subsequently underwent abdominal CT scans. The patient was managed conservatively and then discharged against medical advice (DAMA). Previously documented cases have mentioned the presence of free fluid in the abdomen in FAST scan in a stable patient leading to undergoing a CT scan and further managing trauma victim patients, which was absent in the present case.

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The Incidence of Splenic Injury Following Blunt Abdominal Trauma (BAT), Sultan Qaboos University Hospital Experience

Cited by 2 publications

References 4 publications

Severity of Splenic Trauma and Its Surgical Outcome among Patients Presented at Liaquat University Hospital, Pakistan

Severity of Splenic Trauma and Its Surgical Outcome among Patients Presented at Liaquat University Hospital, Pakistan

Splenic Heterogeneity in Focused Assessment With Sonography for Trauma (FAST) Scan Led to the Diagnosis of Grade 2 Splenic Injury in a Pediatric Blunt Abdominal Trauma

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