Muddasar Shahzad, Sheikh Muhammad Ibqar Azeem, Munir Ahmad.
Splenic injury in blunt abdominal trauma.
Pak J Surg Jan ;35(1):8-11.

Objective: To determine the frequency of splenic injury aft er blunt trauma abdomen and common types of trauma leading to it. Study Sett ings: Surgical Department, Lady Reading Hospital, Peshawar. Study Design: Descriptive (cross sectional) study. Duration: From July, 2015 to December, 2016. Material and Methods: A total of 240 patients above 14 years of age and of both genders presenting with blunt trauma abdomen in Out Patient Department or Emergency department were included in the study. Aft er history and clinical examination, Ultrasound or CT scan abdomen was used as diagnostic tool for splenic injury. Splenic injury detected on exploratory laparotomy for blunt abdominal trauma were noted and once detected the patients was carefully checked for detection of types of trauma leading to spleen injury like Road Traffic Accident, Fall from height, Assault and Industrial Accident. Data was recorded in predesigned proforma and analyzed by using SPSS version 20. Results: A total of 240 patients were studied. Mean age was 30 years with SD ± 2.13. Seventy-five percent patients were male while 25% patients were female. 14(6%) patients had splenic injury in which 6(42%) patients had road traffic accident, 5(36%) had industrial accident, 2(14%) patients had fall from height and 1(8%) patient had assault. Conclusion: The commonest causes of splenic injury in blunt abdominal trauma were Road Traffic Accident and industrial accidents. Early diagnosis is the key for proper management and survival of the patients. Road Traffic Accident and industrial accident are preventable causes and can be minimized by following rules of traffic and industry.

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