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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 7
First page : ( 389) Last page : ( 392)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.01600.0

Assessment of Clinical Profile of Patients with Blunt Abdominal Trauma Admitting to Emergency Department

Kshirsagar Ashok Y1, Ajagekar Pratik D.2,*, Aggarwal Ajay3, Deshetti Shekhargouda3

1Professor, Department of Surgery, Krishna Institute of Medical Sciences deemed to be University, Karad, Satara, Maharashtra

2Assistant Professor, Department of Surgery, Krishna Institute of Medical Sciences deemed to be University, Karad, Satara, Maharashtra

3Junior Resident, Department of Surgery, Krishna Institute of Medical Sciences deemed to be University, Karad, Satara, Maharashtra

*Corresponding Author: Pratik D. Ajagekar Assistant Professor, Department of Surgery, Krishna Institute of Medical Sciences Deemed to be University, Karad, Satara, Maharashtra

Online published on 19 August, 2019.

Abstract

Background

Abdominal trauma caused by blunt force is a common presentation in the emergency room seen in adults and children. The management of the patient with blunt abdominal trauma remains in continuous flux. Hence; we planned the present study to assess the clinical profile of patients with blunt abdominal trauma admitting to emergency department.

Materials & Method

A total of 200 patients were included in the present study. Complete clinical details of all the patients were obtained. Chest X-ray was carried out in all the patients. Computed tomography (CT) was also done in all the patients. This was followed by grading of the liver, spleen and gut according to their CT findings. Higher grade indicated higher severity of the trauma.

Results

In the present study, a total of 200 patients were analysed. Abdominal distension was found to be present in 152 patients (76 percent). Chest X ray findings were analysed in all the patients and it was observed that Chest X-ray revealed abdomen with air under diaphragm in 9 percent of the patients. On doing CT liver, it was observed that grade zero was present in 98 patients while grade three and four were present in 30 patients each.

Conclusion

In patients with blunt abdominal trauma, it is comparatively unreliable to diagnose the patient clinically. Rather radiograph and CT evaluation of the patients should be done for finalizing the treatment planning.

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Keywords

Abdominal, Blunt, Trauma.

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