Abdominal trauma – A clinical study

Introduction: Trauma increase in incidence may be the price marking paying for the increased sophistication of industrialization and various paying for the increased sophistication of industrialization and various rapid transport systems. Aim: The aim of the study was to evaluate the incidence of abdomen trauma, clinical presentation, morbidity, and mortality. Materials and methods: This prospective clinical study was carried out on patients admitted for a period of 1 year in 120 cases of abdominal trauma treated in our hospital. After admission, data for the study were collected by detailed history, thorough clinical examination, and relevant diagnostic investigations performed over the patient. Results: Most common age group were 21-30 (43.3%) with a mean age group of 29.5 years. In present study, there were 98(81%) male and 22(19%) female with a ratio of 4.5:1. Most of them were operative management. There were 87(73%) cases of homicide, 23(19%) cases were suicide and 10(8%) were accidents. Injury pattern showed that 51(42.5%) cases had entry wound in umbilical region followed by right iliac, right lumbar. Intra-abdominal injuries included small intestine (n = 41, 34.17%), stomach (n = 24, 20%) and Ileum (n = 17, 14.17%). It was found that average drain output was 60ml/day for small bowel perforation and patient started oral feeding on POD 5, removal day of drain was averaging sixth day after starting orally. Conclusion: A thorough and repeated clinical examination and appropriate diagnostic investigations lead to successful treatment in these patients.