DOI: 10.36347/sasjs.2022.v08i03.005

Pages: 90-94

Introduction: Abdominal contusion is a closed trauma of the abdomen without continuity between the peritoneal cavity and the outside. The prognosis depends on the severity of the initial injuries but also on the speed and efficiency of their management. In Kayes hospital, there is no data on this traumatic lesion, hence the interest of this study which had as objectives to determine the prevalence of abdominal contusions, the diagnostic and therapeutic aspects. Materials and method: This is a retrospective study that took place from January 1, 2017 to December 31, 2020 or a duration of 4 years, conducted in the Department of General Surgery of the Hospital Fousseyni DAOU of Kayes. All patients admitted to the emergency department for abdominal contusion, whether isolated or not, and who were treated in the general surgery department during the said period were included. Results: During the study period, 1598 patients were hospitalized in the general surgery department, including 42 patients with abdominal contusion, i.e. a prevalence of 2.6%. Our study population consisted of 39 men (92.9%) and 3 women (7.1%), i.e. a sex ratio of 13. The mean age was 21.3 years, with extremes of 8 and 73 years. Thirty-three (78.6%) and nine (21.4%) patients came directly from the emergency department and the general surgery outpatient department, respectively. Road traffic accidents were the primary cause of abdominal contusions, with 24 cases (57%). Consciousness was preserved (GCS 15) in 39 (92.9%) patients. Fever and hemodynamic instability were respectively found in 11 (26.2%) and 4 (9.5%) patients. Emergency abdominal and pelvic ultrasound revealed hemoperitoneum and visceral lesions in 30 (73.1%) and 23 (56.1%) patients respectively. On physical examination, localized abdominal defense was found in 27 (64.3%) patients. Visceral lesions were dominated by hepatic fracture, 7 (30.4%) cases. Non-operative treatment (surgical abstention + medical treatment, strict ................