Visceral Damage in Blunt Abdominal Trauma and its Outcome in a Tertiary Care Hospital

Authors

  • Mariam Malik Services Hospital, Lahore, Pakistan
  • Usman Baig Omar Hospital, Lahore
  • Adnan Rashid Noor Diagnostic Center, Lahore
  • Khalid Javed Shaukat Khanum Memorial Cancer Hospital, Lahore
  • Hira Khalid Indus Hospital, Lahore
  • Khalid Rehman Yousaf Omar Hospital, Lahore

DOI:

https://doi.org/10.5281/zenodo.%205558531

Keywords:

Blunt Abdominal Trauma, Organ Damage, Cross-sectional Study

Abstract

Background: Blunt Abdominal Trauma (BAT) is the leading cause of fatalities in the young population and forces enormous expense on our health system. Because of the high incidence of trauma injury and its related mortality in developing nations, it is by all accounts important to consider epidemiology and extent of the harm brought about by blunt abdominal trauma and the extent of associated visceral injuries and their outcome. Methodology: The patients presenting with blunt abdominal trauma in the Emergency department of Services Hospital in Lahore, Pakistan were registered. The data for each patient was collected separately by a pre-designed questionnaire. The patients were then individually followed up for mode of management and extent of visceral damage and its outcome. The data was entered and analyzed by Statistical Package Software version 21. Results: A total of 117 patients came to the emergency department with blunt abdominal trauma. The age bracket most commonly encountered was 21-40 years and 83% of them were male. 20 % of these patients underwent laparotomy while the mortality rate was 2%. Organ damage was observed in 23(19%) of the cases . Amongst those with visceral damage, the most commonly injured organs were liver and spleen (36%), followed by gut perforation(29%), 6% each presented with urinary bladder rupture, mesenteric tears and biliary tract injuries. Conclusion: Blunt damage in the abdomen was observed more in men. The commonest cause of blunt abdominal trauma was a road traffic accident. Spleen and liver were the most frequently involved injured organs. The laparotomy rate was 20 % while the mortality rate was 2% owing to fatal intraabdominal bleeding.

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Published

29-10-2021 — Updated on 10-11-2021

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How to Cite

Malik, M., Baig, U., Rashid, A., Javed, K. ., Khalid, H., & Yousaf, K. R. (2021). Visceral Damage in Blunt Abdominal Trauma and its Outcome in a Tertiary Care Hospital. MedERA - Journal of CMH LMC and IOD, 3(1). https://doi.org/10.5281/zenodo. 5558531 (Original work published October 29, 2021)