ABDOMINAL TRAUMA AMONG PATIENTS ATTENDED A SUDANESE STATE PUBLIC HOSPITAL
Sawsan Mustafa Abdalla MD, Sami Eldirdiri MD , Elsadig Yousif Mohamed MD* , Mohamed Ahmed A/Gadir Elimam MD , Humida Ali Gurashi MD , Khalid Altohami
Medani MD
ABSTRACT
Background: Abdominal trauma is an important medical emergency
that needs special attension. The objectives of this study was to
detemine the types, clinical presentation managenment and tretment
outcome of abdominal trauma among patients attending Gadarif
teaching hospital, Sudan. Methods: The study was retrospective
descriptive, 210 records of patients attended the surgical department in
Gadarif teaching hospital following abdominat trauma during 2009 –
2011 were reviewed using a check list. Analysis was done by SPSS. Results: Results
showed that 58.1% and 41.9% of patients presented with penetrating and blunt trauma
respectively. Invetigations performed for the patients were Ultra sound, X- Ray, CT scan and
diagnostic peritoneal lavage constituetd 47.6%, 27.1%, 5.7% and 1.0% respectively. Most of
the patients presented with blunt and penetrating trauma were treated conservatively (85.2% )
and surgically (93.4%) respectively. Cure rate in surgical and conservative treatment was
92.1% and 81.9% respectively. The death rate among patients underwent surgical
management was 6.3% while it was 3.6% among patients underwent conservative
management. Conclusion: The study concluded that penetrating anterior stab wounds are the
commonest type of abdominal trauma. All patients with abdominal trauma presented with abdominal pain. Most patients with blunt and penetrating trauma were treated conservatively
and surgically respectively. Cure rate is higher in surgical than in conservative management
Keywords: Trauma, penetrating, blunt.
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