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FREQUENCY & GRADING OF ABDOMINAL INJURIES (LIVER AND SPLEEN) FOLLOWING BLUNT TRAUMA ABDOMEN

Dr. Majeedullah Buzdar, Dr. Muhammad Rizwan Anwar, Dr. Muhammad Asim Bhatti

Objective: To find out the frequency & grading of abdominal injuries (liver and spleen) following blunt abdominal trauma. Material and methods: In this cross sectional study total 135 patients with history of blunt trauma abdomen having age 15-45 years either male or female were selected from Department of Surgery Dera Ghazi Khan Hospital, Dera Ghazi Khan. Duration of study was 8 months from April 2018 to December 2018. Frequency of liver and spleen injures was assessed. Results:Total 135 patients of blunt abdomen trauma were selected. Mean age of the patients was 29.41 ± 8.23 years. After performing laparotomy, injury of liver was seen in 48 (36%) patients followed by spleen injury in 65 (48%) patients and both liver and spleen injury was seen in 22 (16%) patients. Regarding grades of liver and spleen injuries, grade-I liver injury was found in 18 (35%) patients followed by Grade-II in 13 (27.08%) patients, Grade-III in 6 (12.5%) patients, Grade-IV in 6 (12.5%) patients and Grade-V injures in 5 (10.42%) patients. Grade-I spleen was seen in 25 (38.46%) patients, Grade-II in 17 (26.15%) patients, Grade-III in 14 (21.54%) patients, Grade-IV in 5 (7.69%) patients and Grade-V injuries were noted in 4 (6.15%) patients. Conclusions: Results of present study showed that spleen injures were most common as compared to liver injures in cases of blunt abdominal trauma. Age group 15-30 years was the most affected age group. Male are more victims as compare to female. Key Words: Liver, Spleen, blunt abdominal trauma