PATTERN OF BLUNT ABDOMINAL TRAUMA WITH ITS OPERATIVE FINDINGS

Dr. Md. Hasanur Rahman* and Mohammad Nur E. Alam Mazumder

ABSTRACT

Objective: In this study our main aim is to evaluate the correlation between the patterns of blunt abdominal trauma with its operative findings. Methods: This study conducted in the Surgery Unit-Ill, Chittagong Medical College Hospital, Chittagong starting from January 2004 onwards. Patients were selected randomly irrespective of age. A diagnosis was made on clinical (Detailed history, examinations) and some preoperative investigations like plain X-ray abdomen in erect posture, X-ray chest, Hb%. As this study included only the admitted patients, many of those with the same kind of trauma who succumbed to death on the way to or at the emergency department due to associated other grievous injuries like head injury, vascular injury etc were not included here. Results: In this study series of 50 cases with blunt abdominal trauma majority of cases were due to Road Traffic Accident which includes motor vehicle accident, pedestrian stuck and motor cycle accident and resulted in a total of 41 casualty occupying 82% of the entire series. Injury in 5 cases were due to assault which were produced by blunt weapons including kicks, blows with fist and other instrument. Injury resulted from fall from height in 2 cases and in the remaining 2 cases by compression (eg crushing by heavy weight, machinery injury etc.). Conclusion: We conclude that, we cannot prevent all death of the patients, but at least we can try with our limited resources to reduce the sufferings complications and death of the helpless patients based on our knowledge and keen observations, honest intentions and sincere efforts.

Keywords: Blunt abdominal, morbidity, mortality, vascular injury.