Objective: To determine the severity of splenic trauma and its surgical outcome among patients presented with abdominal blunt trauma at surgical emergency of Liaquat University Hospital Jamshoro (Hyderabad) Material and Methods: This prospective case series study was conducted in the department of Surgery at Liaquat University Hospital Jamshoro, from December 2013 to November 2014. Patients having a diagnosis of abdominal trauma with a diagnosis of splenic injury, aged above 18 years and both genders were included. All the patients underwent surgical treatment as per indications. Patients were monitored during hospital stays to assess the outcome. A study proforma was employed to gather data and SPSS software version 20 was utilized for the analysis of it. Results: The study included 60 patients; their mean age was 28.3±12.4 years. Most of the cases 51(84.9%) were between 18 and 40 years of age. Males were predominant with a male to female ratio of 3.1:1. The majority of the cases (48.3% and 33.3%, respectively) had Grade III and Grade IV injuries, and none of our patients were diagnosed as Grade V by the scan. Overall among 30 cases, developed complications, particularly as 10 cases had pulmonary infection, 08 cases had intra-abdominal bleeding, wound infection was in 9 and 1 had developed over-whelming post splenectomy (OPSS). The overall mortality rate was 5.0%. Conclusion: Splenic trauma and its severity in patients having blunt abdominal trauma were observed to be the most frequent. A better outcome has been observed, and it is also depending on the immediate arrival, accurate diagnosis, surgeons' ability, and experience.

Objective: To evaluate the frequency and causative factors of splenic trauma in patients presented with abdominal blunt trauma at the surgical emergency of the Liaquat University Hospital Jamshoro (Hyderabad). Material and methods: This was a cross-sectional and retrospective study, carried out at the surgical units of Liaquat University Hospital Jamshoro from December 2013 to November 2014. All the patients admitted with abdominal trauma, aged >12 years of either gender, were included. After taking informed consent, a complete medical history, especially regarding the cause of the injury, and a physical examination were done. All the patients were evaluated for splenic trauma after imaging diagnosis and operative findings. A self-made proforma was used for the data collection of age, gender, residence, causes of the injury, and presence of the splenic trauma. Data was analyzed by using SPSS version 26. Results: A total of 250 cases of abdominal trauma were studied, and splenic trauma cases were found in 60 (22.7%). Out of 60 participants, most of the cases were aged 18 to 30 years (46.7%) and 31 to 40 years (38.3%). Males were seen in the majority of 44 (73.3%), while females were 16 (26.7%). According to the causative factors of the splenic trauma, road traffic accidents were the most common (51.1%), followed by falls (19.1%), stab wounds (17.0%), and fire arm injuries (12.8%). Conclusion: As per the study conclusion, the young males mostly suffered from splenic trauma, which was observed to be 22.7% among patients with abdominal trauma. Road traffic accidents (RTA) and falls from height were observed to be the most common causative factors. Keywords: abdominal trauma, splenic trauma, causes

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