Dr. Marium khan, Dr.Maham Imran, Dr. Aiman Rashid
Between 1 and 45 years of age; the most common cause of mortality is due to trauma resulting in the loss of daily activities more than other well-known diseases, such as malignant tumours and cardiovascular diseases. Objective: The purpose of this analysis was to determine the pattern and incidence of intra-abdominal injuries in subjects having blunt abdominal trauma. Study Design: An Observational Study. Place and Duration: In the Surgical Unit of Bahawalpur Victoria Hospital for six months duration from July 2018 to December 2018. Method: A total of 50 blunt abdominal trauma cases were included in the study. These cases were over 12 years of age and were of both sexes admitted to the Accidents and Emergency Department of Bahawalpur Victoria Hospital. Results: From total of 50 patients, the males were 41 (82%) and female patients were9 (18%) included in the study. There were 15 (30%) patients with liver damage and splenic lesions were noted in 13 (26%) patients. In eleven(22%) patients, there was damage to the intestine vary from the gastric region to the anal canal).In the small intestine, five patients attained injury and in the duodenum and stomach, 2 patients were noted with injuries and four patients in the large intestine. In two (4%) of cases; there was injury to the pancreas. The three patients (6%) had Mesenteric tear and diaphragm was ruptured in 2 (4%) patients. The retroperitoneal hematoma was noted in five (10%) patients. Three patients (6%) had renal damage and injury to the bladder was observed in 2 patients. Conclusion: It is concluded that intra-abdominal organs are most commonly susceptible to injuries. In the blunt abdominal trauma, the solid organs were injured more. In our analysis of blunt abdominal trauma, the most usual injured organ was liver, followed by other organs including intestine, spleen and retroperitoneal hematoma. Key Words: Intra-abdominal injuries, abdominal trauma, frequency.