19 Pattern of Abdominal Trauma in a Tertiary Care Centre

Abstract

Background: To study the clinical presentations, pattern, modes of management and outcome in a patient
with abdominal trauma. Setting and design: Retrospective observational study conducted in a tertiary care
hospital. Methods: The study was done in the department of general surgery in a tertiary care centre that has
round the clock availability of all radiological investigations. A total 100 cases of abdominal trauma diagnosed
by Focussed Abdominal Sonography in Trauma (FAST) or CT Scan or per operatively were enrolled in the
study. Results: Maximum number (25%) of patients were aged between 21-30 years of age. Most of the
patients (86%) presented with blunt abdominal trauma. RTA (41%) and fall (35%) were the common causes
of abdominal trauma. Maximum patients (32%) had splenic injury followed by liver injury (29%). 37% of the
patients were managed conservatively while 63% underwent surgical intervention. Conclusion: RTA forms
the most common mode of abdominal trauma. Blunt abdominal trauma is more common than penetrating
abdominal trauma. Spleen is the most common organ to be injured in abdominal trauma.