Comprehensive study of blunt injury abdomen in medical college, Chennai, India

Abstract

Background: Abdomen is the third most common organ injured following extremities and head injury. CT scanning has increased the identification of injuries. The care of the trauma patient is demanding and requires dedication, diligence, and efficiency. To evaluate the type and frequency of injury of various intraabdominal organs in the blunt trauma of the abdomen.Methods: After a primary survey of these patients, brief history and complete physical assessment all the basic investigations were done. Skiagrams were taken routinely. Ultrasonogram (F.A.S.T SCAN) was done for all cases and a CT scan was done for selected cases.Results: Road traffic accident was the most common mode of injury accounting for 76% cases. 36% of the cases were in the third decade of their lives. Spleen was the most common injured organ accounting for 52% of the cases.Conclusions: Solid organs like spleen and liver were more commonly injured in blunt injury to abdomen than the other organs like mesentery, retroperitoneum, bladder etc.