Our Experience in Blunt Trauma Abdomen

Abdominal injury as a result of both blunt and penetrating trauma has an appreciable mortality rate from haemorrhage and sepsis. This study represents the experience with blunt trauma to the abdomen of patients from a tertiary care centre. The study was undertaken to know the demographic details, cause of injury, management and outcome of blunt trauma abdomen (BTA). All the blunt trauma abdomen cases admitted in SSIMS & RC hospital during period of Nov 2013 to Nov 2014. There were 65 patients with abdominal trauma. Most common age group involved was 325years. Male and Female ratio 151. Most common mode of injury was RTA 43 (66 %). Associated injuries present in 48 (74 %) cases. Diagnosis was established in all cases by either ultrasound or CECT. Liver (26 %) was the commonest organ injured next spleen (20 %).81 % (53 patients) of cases underwent successful conservative treatment with a failure rate of 7.5 % (4 patients) and 19 % (12) operative treatment. Mortality was 20 %. Non operative management (NOM) for BTA was found to be highly successful and safe. Definitive indications for laparotomy were hemodynamic instability and peritonitis. Patients with initial Hemodynamic instability are associated with a high risk for NOM failure. USG (FAST scan) in haemodynamically unstable patients, CECT in stable patients were investigations of choice. Associated injuries influenced morbidity and mortality.