Ashar Ahmad Khan, Mian Usman Farooq, Abdul Rashid, Muhammad Zeeshan Azhar.
Comparison of rate of different organs injury in blunt abdominal trauma.
J Surg Pak Jan ;12(3):110-4.

Objectives: This study was conducted to find out the pattern of blunt abdominal trauma and rate of various organ injuries. Study Design: Observational study. Place & Duration of study: The study was conducted in emergency department of tertiary care referral teaching hospital, Nishtar Hospital Multan, Pakistan, from 01-07-2005 to 31-12-2005. Patients & Methods: The number of patients were 50. The age range was between 13-50years. All had history of blunt abdominal trauma. Patients having chronic associated illnesses were excluded from the study. Transit time was defined as total interval between time of injury and arrival to emergency department. Grading of injury related to liver, spleen, kidney and pancreas was done. Primary as well as secondary survey of the patients was done with resuscitation and follow up according to ATLS protocol. Results: Males were 41(82%). Twenty (40%) subjects belonged to 21-30 years. Road traffic accident was the most common 24(48%) cause of injury followed by fall from height in 12(24%) subjects. Abdominal pain was presenting complaint in 36(72%) patients followed by absent bowel sounds in 32(64%). Intestine was injured in 11(22%) patients followed by spleen in 10(20%). Diagnostic peritoneal lavage was performed in 19 patients. All the patients underwent surgery but in 8(16%) patients laparotomy was negative. Seven (14%) patients died. Chest infection was most common post-operative complication found in 12(24%) patients followed by wound infection in 8(16%). Conclusions: Road traffic accident was the most common cause of injury. Intestine was the most commonly affected organ. The rate of postoperative infection and morbidity was high.

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