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TITLE:

AN AUDIT OF VARIOUS ABDOMINAL INJURIES FOLLOWING BLUNT ABDOMINAL TRAUMA

AUTHORS:

Dr. Mian Moeed Ahmad, Dr. Muhammad Zoha, Dr. Maryam Fatima

ABSTRACT:

To assess the various abdominal injuries following blunt abdominal trauma presenting at tertiary care hospital. Material and methods: This descriptive study was conducted at Department of Surgery, Bahawal Victoria Hospital, Bahawalpur from May 2019 to November 2019 over the period of 6 months. Study was approved by the ethical committee and written informed consent was taken from ethical committee. Total 100 patients with patients presenting with a history of recent assault by the blunt/heavy object over the abdomen, road traffic accident with suspected blunt abdominal injury, history of accidental fall from height, history of fall of the heavy object over the abdomen and blunt trauma abdomen in sports injury were included in the study. Results: Among 76 (76%) patients, mode of injury was road traffic accident followed by assault in 20 (20%) patients, fall from height in 2 (2%) and fall of weight 2 (2%) patients. (Table 2) Out of 100 patients, spleen injury was seen in 52 (52%) patients, liver was injured in 14 (14%) patients, ileal perforation was seen in 10 (10%) patients, combined injury was noticed in 8 (8%) patients, mesentery in 4 (4%) patients, renal injury in 2 (2%) patients, pancreas injury in 4 (4%) patients, bladder injury in 4 (4%) patients and jejunal perforation was seen in 2 (2%) patients. Conclusions: Results of present study showed that most of patients of blunt abdominal trauma belonged to age group 20-30 years. Most common mode of injury was road traffic accident. Spleen and liver was the most common injured organ. Keywords: Abdominal injury, CT scan, Splenectomy, Solid organ injury

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