Investigation of blunt abdominal trauma

Jansen, Jan O.; Yule, Steven; Loudon, Malcolm

doi:10.1136/bmj.39534.686192.80

Cited by 110 publications

(112 citation statements)

References 29 publications

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“…10 Concealed hemorrhage is the second most common cause of death after blunt trauma abdomen, and missed abdominal injuries are a frequent cause of morbidity and late mortality in patients who survive the early period after injury. 11 Close supervision and early institution of proper management results in decreased morbidity and mortality. 10 The care of the trauma patient is demanding and requires dedication, diligence and efficiency.…”

Section: Introductionmentioning

confidence: 99%

A retrospective clinical study on blunt trauma abdomen and its management

Rahman¹,

Das²

2018

Int Surg J

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Background: Blunt trauma abdomen is a common surgical emergency which may present as an isolated problem or as a part of poly trauma. Road traffic (automobile) accident is the most common cause of blunt trauma abdomen.Methods: After initial resuscitation and achieving hemodynamic stability, all patients were subjected to careful history and clinical examination. Depending on the clinical findings, decision for further investigations as four-quadrant aspiration, X-ray of chest and abdomen erect view and abdominal ultrasound were taken. The decision to operate or non-operative management depended on the outcome of clinical examination and results of diagnostic tests.Results: This is a clinical study of 100 patients who were admitted, treated and followed up in Gauhati Medical College and Hospital, Guwahati, Assam, India from 1st July, 2015 to 30th June, 2016. In this study, the incidence of blunt trauma abdomen was found to be 69.78% out of all abdominal trauma patients. The most common cause was found to be road traffic accidents (67%). The commonest age group was 21 to 30 years comprises about 39% of patients. The average age was 30.82 years. Spleen was the most common organ involved (44%). 53.52% of patient having solid organ injured was managed conservatively. Out of 60 operative cases, 25 (41.7%) cases were operated within 3-6 hours.Conclusions: Patients with blunt trauma abdomen should have early and accurate diagnosis and prompt, proper and prudent management to improve overall prognosis.

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Section: Introductionmentioning

confidence: 99%

A retrospective clinical study on blunt trauma abdomen and its management

Rahman¹,

Das²

2018

Int Surg J

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“…for the confirmation of clinical and surgical diagnoses, including AT cases 7 . The ideal, therefore, for a complete epidemiological investigation on mortality by AT and for the other external causes is that medical-legal reports 18 .…”

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confidence: 99%

“…In addition, the accuracy of abdominal physical examination is low and the level of consciousness produced by hemorrhages or by the association of abdominal trauma (AT) with traumatic brain injury and/or effects of central nervous system of previously consumed substances make the adequate clinical examination even more difficult [6][7][8] . Therefore, it is emphasized that the absence of abdominal pain or signs of peritoneal irritation on physical examination does not exclude the presence of abdominal organs injuries 9 .…”

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confidence: 99%

Deaths from abdominal trauma: analysis of 1888 forensic autopsies

Bordoni

Santos

Teixeira

et al. 2017

Rev. Col. Bras. Cir.

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Objective: to evaluate the epidemiological profile of deaths due to abdominal trauma at the Forensic Medicine Institute of Belo Horizonte, MG - Brazil. Methods: we conducted a retrospective study of the reports of deaths due to abdominal trauma autopsied from 2006 to 2011. Results: we analyzed 1.888 necropsy reports related to abdominal trauma. Penetrating trauma was more common than blunt one and gunshot wounds were more prevalent than stab wounds. Most of the individuals were male, brown-skinned, single and occupationally active. The median age was 34 years. The abdominal organs most injured in the penetrating trauma were the liver and the intestines, and in blunt trauma, the liver and the spleen. Homicide was the most prevalent circumstance of death, followed by traffic accidents, and almost half of the cases were referred to the Forensic Medicine Institute by a health unit. The blood alcohol test was positive in a third of the necropsies where it was performed. Cocaine and marijuana were the most commonly found substances in toxicology studies. Conclusion: in this sample. there was a predominance of penetrating abdominal trauma in young, brown and single men, the liver being the most injured organ.

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“…2 Blunt injuries have been reported to prevail in rural areas, but in our study no such demographic arrangement was noticed. 6 Vehicle accidents are a common cause of blunt abdominal trauma 1 . In our study, they were the most common cause followed by interpersonal violence.…”

Section: Discussionmentioning

confidence: 99%

An analysis of injury patterns of abdominal trauma in patients attending surgical emergency department of rural hospital, Karnataka, India

2017

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Background: Globally, abdominal trauma is a major public health problem irrespective of socioeconomic levels. Severe blood loss and infection are the serious complication of any abdominal trauma. A detailed assessment for early identification and prompt management is required to reduce the mortality and morbidity in any abdominal trauma. Hence this study was designed to assess the incidence and patterns of abdominal injuries in trauma patients.Methods: It was assorted and identified the incidence and sub type of abdominal injuries and associated trauma, and identified variables related to morbidity and mortality.Results: A total of 150 abdominal trauma cases were analyzed; 103 patients with blunt abdominal trauma and 47 with penetrating. The most frequent type of abdominal trauma was blunt trauma; its most common cause was motor vehicle accident. Most abdominal trauma patients presented with other injuries, especially patients with blunt abdominal trauma. Mortality was higher among penetrating abdominal trauma patients.Conclusions: Type of abdominal trauma, associated injuries, and Revised Trauma Score are independent risk factors for mortality in abdominal trauma patients.

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Investigation of blunt abdominal trauma

Cited by 110 publications

References 29 publications

A retrospective clinical study on blunt trauma abdomen and its management

A retrospective clinical study on blunt trauma abdomen and its management

Deaths from abdominal trauma: analysis of 1888 forensic autopsies

An analysis of injury patterns of abdominal trauma in patients attending surgical emergency department of rural hospital, Karnataka, India

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