ABSTRACT
Blunt injury abdomen (BIA) is an ever-increasing problem. Isolated injury to duodenum following BIA is rare (1-4%). It can be a challenge to the surgeon and failure to manage it properly can lead on to devastating results. Blunt duodenal injury can occur in isolation or with pancreatic injury. We report a case of an isolated transection of third part of the duodenum following BIA. Initial clinical changes in isolated duodenal injury may be subtle before life-threatening peritonitis develops. High index of suspicion, knowledge of mechanism of injury, physical examination and proper imaging techniques are the key in early detection of duodenal injury.
ABSTRACT
Background: Blunt injury abdomen is the leading cause of morbidity and mortality in all age groups. Blunt trauma differs from penetrating trauma as different organs are characteristically injured by compression from blunt straining. Focused assessment with sonography for trauma (FAST) and computed tomography (CT) abdomen are very beneficial to detect those patients with minimal and clinically undetectable signs of abdominal injury. Objective of the study was to evaluate the incidence of blunt injury abdomen, mode of injury, organs involved in patients.Methods: A retrospective study was done on blunt injury abdomen. 48 patients were enrolled in this study.Results: Out of 48, 35 (72.9%) male patients more commonly encountered blunt injury to the abdomen. 28 (58.3%) was the highest incidence for age group 21-40 years. The most common mode of injury was road traffic accidents 36 (75.0%). Grade III splenic injuries were encountered in majority 19 cases and 13 cases involved laceration of parenchyma >3 cm depth and 6 cases were subcapsular hematoma (>50%). Spleen was the most common injured organ accounting for 25 (52.0%) and second most common injury was Ileal perforation 6 (12.5%), liver injury 6 (12.5%) of the cases.Conclusions: Blunt injury abdomen mainly affected male and the younger population between the age group 21-40 years. The most common mode of injury is road traffic accidents. In this study the spleen was found to be the most common organ injured in blunt injury abdomen.
ABSTRACT
BACKGROUND : Blunt abdominal trauma is the 3rd most common form of injury in road traffic accidents after orthopaedic injuries and head injuries and the victims mostly are young, productive adults and hence it has got enormous 8 socio-economic impact. METHOD : Aprospective detailed study and analysis of 125 cases of abdominal trauma those admitted in this tertiary care centre over a period of 2 years from 2017 -2019 was undertaken with the review of the medical literature. RESULTS : Blunt injury abdomen is a major cause of morbidity and mortality in young age patients with Road traffic accident being the most commoncause.Males are affectedmore thanfemales.Inourstudy,Liverismost commonlyinvolvedorganthanspleenwhichis contrasttoliterature. CONCLUSION : Early diagnosis reduces the mortality rates and safety measures in roads prevent the injuries , both play a major role in good outcome.
ABSTRACT
Introduction: Blunt injury in the abdomen is seen morecommonly because of rapid industrialization and increasednumber of vehicles ultimately leading to more numberof accidents. It can occur as a result of fall from height,assault with blunt objects, sports injuries, and bomb blasts.In majority of the cases, blunt injury was the cause of death.In criminal violence, blunt injuries lead to death and more offorensic importance. The aim of the present study was to makea pattern of blunt abdominal injuries, which were fatal andresulted in death.Material and methods: A total of 160 cases of deaths fromblunt abdominal trauma from 1st July 2011 to 30th June 2013were included in the study. Demographic details about age,gender, occupation brief facts of the cases collected from theinquest report were entered. Patterns of death and types ofinjuries were studied and the data was collected through a predesigned format.Results: The most common age group affected with bluntabdominal injuries was 20-40 years followed by above 40years and below 20 years. The main cause of injury was foundto be due to road accidents. The most common organ involvedin blunt injury of abdomen was liver followed by intestineand spleen. The mechanism of death was found to be due tohemorrhage.Conclusion: Injury to abdomen is considered to be the mostcommon reason for morbidity and mortality among thegeneral population.