February 22, 2023 Journal article Open Access

Momin Sheikh; Nilutpal Bora; Atul Chandra Baro

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    <subfield code="a">Splenic Trauma Non-Operative Management Abdominal Tenderness</subfield>
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    <subfield code="u">Assistant Professor, Department of Surgery, Jorhat Medical College, Jorhat, Assam, India.</subfield>
    <subfield code="a">Nilutpal Bora</subfield>
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    <subfield code="u">Professor and Head, Department of Surgery, Jorhat Medical College, Jorhat, Assam, India.</subfield>
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    <subfield code="u">Post Graduate Trainee, Department of Surgery, Jorhat Medical College, Jorhat, Assam, India.</subfield>
    <subfield code="a">Momin Sheikh</subfield>
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    <subfield code="a">ACLINICAL PROFILE OF SPLENIC TRAUMA FOLLOWING ALLEGED HISTORY OF ROAD TRAFFIC ACCIDENT ATTENDING ATERTIARY CARE HOSPITAL</subfield>
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    <subfield code="a">&lt;p&gt;&lt;strong&gt;Background&lt;/strong&gt;:Spleen is commonly injured in blunt abdominal trauma.Eachyear,an average of 25% of admissions are for blunt trauma[1].The incidence is higher in males (M/F:2:1) with a peak between 18 to 34 years old[2].In the last few years the management of blunt splenic injuries both in adults and children has shifted towards a conservative approach[3].&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Materials and methods&lt;/strong&gt;:A hospital based prospective observational study was done in 30 patients presenting with blunt splenic&amp;nbsp;trauma admitted in Jorhat Medical College and Hospital ,Jorhat, from June 2021 to May 2022. Demographic profile, detailed history, physical examination, operative managements and the outcome were noted.&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt;A striking male preponderance of 93% was observed.The most common age group affected was those aged 20&amp;Atilde;&amp;fnof;&amp;Acirc;&amp;cent;&amp;Atilde;&amp;sbquo;&amp;Acirc;&amp;euro;&amp;Atilde;&amp;sbquo;&amp;Acirc;&amp;ldquo;39 years.The majority of our study population presented with abdominal pain in 25 cases.&amp;nbsp;Most common sign was abdominal tenderness 25 cases . Non-operative management was adopted in 63.33% patients,operative management was done in 11 cases (36.67%).The most common post-operative complication was respiratory infections(27.27%).The present study showed a mortality of 10% (3 cases). 11 were treated operatively and 19 patients were treated conservatively.&lt;/p&gt;

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