Visceral
injuries of the
abdomen following blunt
trauma present a great medico-legal problem to the forensic experts. Thus the doctor should remain alert to the development of signs and symptom after blunt
trauma to the
abdomen in vehicular
accident otherwise he may be charged of
negligence. Among 55 fatal cases of blunt
abdominal injury, maximum number of cases belongs to the
age group 20-29 yrs.
Males were the predominant victims with ratio 41. It was found that road
traffic accidents by heavy vehicle like bus;
car and
truck were responsible for 70% of blunt
abdominal injuries. Among 55 cases of
blunt injury, the
incidence of the involvement of
liver,
spleen,
small intestine,
kidney,
stomach and
urinary bladder were 67%, 30.91%, 18%, 10.9%, 9.09%, 5% cases respectively.
Genitals were found injured in 3% cases of
blunt injury abdomen. For
Blunt Injuries of
Abdomen majority of the cases i.e. 78.18% were of accidental, 18.18% were homicidal and 3.6% suicidal in
nature. Immediate
cause of death was
shock and
hemorrhage and in those cases where
death was delayed,
cause of death was
septicemia.