TO SEE THE PATTERN OF INTERNAL ORGAN INJURIES ASSOCIATED TO ABDOMINAL TRAUMA

OBJECTIVE: To evaluate the frequency of intra-abdominal injuries associated to abdominal trauma. MATERIAL AND METHODS: This cross sectional study was conducted at general surgery departments of Isra University Hospital and LUH Hyderabad with the duration of one year from 2014 to 2015. All the patients with abdominal trauma (blunt trauma and penetrating trauma) were incorporated in the study. All cases less than 12 years of age and having brain injuries and unconscious patients were excluded from the study. Details of history, clinical examination, ultrasound abdomen and all required laboratory investigations were carried out. All the causes of abdominal trauma were noted. Frequency of all intra-abdominal injuries including spleen, kidneys, liver, and pancreas), stomach, ureters, small intestine, and urinary bladder were noted. All the findings according to study objective were noted in the Performa. RESULTS: Total 60 cases were selected, male gender was found commonest 86.6%, while female were only 13.4%. 23-33 years age group was found commonest 25.0%. Majority of the cases 66.66% had blunt trauma, while 33.34% of the cases had penetrating trauma. Clinically mostly patients were found with abdominal pain and vomiting, 92.30% and 55.20% respectively. Liver was the commonest intra-abdominal injury in both blunt and penetrating trauma, 37.5% and 20.0% respectively. Conclusion: We concluded that intra-abdominal injuries are significantly more prevalent in Blunt abdominal trauma as compare to penetrating trauma. Liver and spleen were commonest intra-abdominal organ injuries. Key words: Abdominal trauma, intra-abdominal organ injuries