DOI: 10.36347/sjams.2016.v04i06.089

Pages: 2299-2303

Blunt abdominal trauma (BAT) has become a major health problem all around the world mainly in low and middle-income countries.The objective is to study the incidence, reasons and outcome of BAT in order to diagnose it properly and to start early intervention to decrease associated morbidity and mortality. It was a prospective study including patients who had history of blunt trauma to abdomen, presented in the Department of Surgery, MGM Medical College and Emergency Surgery and Trauma Department, M.Y. Hospital Indore from Sept., 2012 to Sept., 2014. Detailed history, mode of trauma, treatment given, extra abdominal injuries, clinical presentation, internal organ injuries, hospital stay, associated complications and morbidity parameters were studied in all the patients.A total of 134 patients were admitted during the study period, out of which 54, 50 and 30 were admitted in 2012, 2013 and 2014 respectively. There was male predominance, involving mostly patients with age group between 20-30 years. Road traffic accidents were the most common cause of BAT. Most of the patients in 2012 were treated conservatively but in 2013 and 2014 surgical intervention was required in many of patients. Injuries of head and chest were the common extra abdominal injuries, in abdomen small intestine was damaged in majority of patients. Most of the patients stayed for 7 to 12 days in the hospital and though 24 (17.91%) patients died due to severity of the trauma, 104 (77.61%) recovered without any complications.The BAT is preventable as the road accidents are the major cause. Sound judgment with effective treatment and surgical expertise can improve the survival of patients with BAT.