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.