ACLINICAL PROFILE OF SPLENIC TRAUMA FOLLOWING ALLEGED HISTORY OF ROAD TRAFFIC ACCIDENT ATTENDING ATERTIARY CARE HOSPITAL

Background:Spleen is commonly injured in blunt abdominal trauma.Eachyear,an average of 25% of admissions are for blunt trauma[1].The incidence is higher in males (M/F:2:1) with a peak between 18 to 34 years old[2].In the last few years the management of blunt splenic injuries both in adults and children has shifted towards a conservative approach[3]. Materials and methods:A hospital based prospective observational study was done in 30 patients presenting with blunt splenic trauma admitted in Jorhat Medical College and Hospital ,Jorhat, from June 2021 to May 2022. Demographic profile, detailed history, physical examination, operative managements and the outcome were noted. Results:A striking male preponderance of 93% was observed.The most common age group affected was those aged 20–39 years.The majority of our study population presented with abdominal pain in 25 cases. Most common sign was abdominal tenderness 25 cases . Non-operative management was adopted in 63.33% patients,operative management was done in 11 cases (36.67%).The most common post-operative complication was respiratory infections(27.27%).The present study showed a mortality of 10% (3 cases). 11 were treated operatively and 19 patients were treated conservatively.