Abstract

The aim of study was to recognize the common modes, identify the incidence and epidemiology and to assess short term outcome of various treatment modalities of blunt trauma abdomen in a tertiary care centre in Eastern UP. Material & Methods: A “Prospective observational study of blunt trauma abdomen in a Tertiary Care Centre" which was conducted in the Department of General Surgery of BRD Medical College Gorakhpur. The study included all patients who were admitted and operated, during period of 1 year. 80 patients were included in the study. Results: Blunt abdominal trauma was more common in 21-30 years of age and 82% belonged to 11-50 years of age thus affecting the working population. There was a male preponderance with 85% cases being men and a male: female ratio of 5:1. Road traffic accidents were the commonest cause of blunt abdominal trauma accounting for 65%. Pain was the commonest symptom present in 96% cases and tenderness with guarding was the commonest sign present in 98% cases. On inspection 47.5% has abrasion on abdomen due to impact of blunt force. 32.5 % also had contusion along with abrasion due to greater impact on abdomen. 57 % had guarding and 32% had tenderness. On percussion 46.2 % had normal tympanic note and were managed conservatively. 53.8% had dull note either because of hemorrhage or contamination after perforation. On auscultation bowel sound was absent in 52.5% of patients mainly because of ileus due to impact of trauma, or hemoperitoneum. Conclusion: With proper history, thorough clinical examination and use of common radiological investigations, diagnosis of intra-abdominal visceral injuries in patients of Blunt Abdominal Trauma could be made with significant accuracy.

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