Published December 30, 2023 | Version https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article126.pdf
Journal article Open

Hollow Viscus Injuries in Abdominal Trauma: A Prospective Study

  • 1. Assistant Professor, Department of General Surgery, Government Medical College, Siddipet, Telangana State

Description

Introduction: Abdominal organ injuries are the third most common injuries encountered after head and chest injuries. Hollow viscus injuries are not less common and are equally or more life threatening than solid visceral injuries accounting to more blood loss and contaminating bowel injuries. Aim and Objectives: To study hollow viscus injury in the cases of abdominal trauma patients. Materials and Method: This study was a prospective observational study includes 68 patients admitted in the casualty ward, of Chalmeda Anand Rao institute of medical sciences, Karimnagar, with abdominal trauma both blunt and penetrating injuries following road traffic accidents, assault by various objects, interpersonal violence and accidental falls during the period of one year after following inclusion and exclusion criteria and after approved from institutional ethical committee. Results: In the study out of 68 patients, patients with age group between 12 to 70 years, majority of the patients were from the age group of 16 to 45 years. most frequent cause of blunt abdominal injuries was automobile accidents (61.8%), abdominal pain was the most prevalent symptom in the current study (61%). Jejunum, and Ileum was most commonly involved followed by gall bladder, urinary bladder and colon. wound infection is the most common complication seen in 10 patients (14%). Mortality is this study was 7.35%. Conclusion: Blunt or penetrating abdominal trauma causes hollow viscus injuries in the stomach, small intestine, colon, rectum, gall bladder, and urine bladder. Trauma can produce anything from a little bruise to a life-threatening loss of blood.

 

 

Abstract (English)

Introduction: Abdominal organ injuries are the third most common injuries encountered after head and chest injuries. Hollow viscus injuries are not less common and are equally or more life threatening than solid visceral injuries accounting to more blood loss and contaminating bowel injuries. Aim and Objectives: To study hollow viscus injury in the cases of abdominal trauma patients. Materials and Method: This study was a prospective observational study includes 68 patients admitted in the casualty ward, of Chalmeda Anand Rao institute of medical sciences, Karimnagar, with abdominal trauma both blunt and penetrating injuries following road traffic accidents, assault by various objects, interpersonal violence and accidental falls during the period of one year after following inclusion and exclusion criteria and after approved from institutional ethical committee. Results: In the study out of 68 patients, patients with age group between 12 to 70 years, majority of the patients were from the age group of 16 to 45 years. most frequent cause of blunt abdominal injuries was automobile accidents (61.8%), abdominal pain was the most prevalent symptom in the current study (61%). Jejunum, and Ileum was most commonly involved followed by gall bladder, urinary bladder and colon. wound infection is the most common complication seen in 10 patients (14%). Mortality is this study was 7.35%. Conclusion: Blunt or penetrating abdominal trauma causes hollow viscus injuries in the stomach, small intestine, colon, rectum, gall bladder, and urine bladder. Trauma can produce anything from a little bruise to a life-threatening loss of blood.

 

 

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Additional details

Dates

Accepted
2023-11-30

References

  • 1. Davis JJ, Cohn Jr IS, Nance FC. Diagnosis and management of blunt abdominal trauma. Ann Surg. 1976 Jun; 183(6):672.2. Dhaded RB, Malra S. Clinical Study, Evaluation and Management of Blunt Abdominal Trauma- Hollow Viscus and Solid Organ Injuries. SAS J Surg. 2016; 2(1):53-59. 3. Khadilkar R, Yadav AS, D'silva A. A clinical study to evaluate and manage solid organ injuries in blunt abdominal trauma. CIBT J Surg. 2015; 4(1):5-9. 4. Shrihari V, Jayran J, Sabira S. Clinical study of blunt trauma abdomen. Ind J Res. 2015; 4(1):123-6. 5. Tripathi MD, Srivastava RD, Nagar AM, Pratap VK, Dwivedi SC. Blunt abdominal trauma with special reference to early detection of visceral injuries. Indian I Surg. 1991; 53(5):179-84. 6. Mohapatra S, Prahad S, Rao KRRM, Bastia B. Options in the management of solid visceral injuries from blunt abdominal trauma. Indian J surg. 2003; 65(3):263-8. 7. Allen RB, Curry GJ. Abdominal trauma: a study of 297 consecutive cases. Am J Surg. 1957; 93(3):398-404. 8. Raikwar RS, Brahmane A, Arora S. Retrospective and prospective study of management and outcome of blunt abdomen trauma in tertiary health center in last 5-year 2009-2014. JEMDS. 2015; 4(43):7449-57. 9. Dischinger PC, Cushing BM, Kerns TJ. Injury patterns associated with direction of impact: drivers admitted to trauma centers. J Trauma Acute Care Surg. 1993; 35(3):454-9.