Abstract

Blunt trauma to the abdomen usually results from road traffic accidents, assaults and accidental falls. Management of the blunt trauma abdomen has evolved from operative to non-operative management in hemodynamically stable patients. A retrospective study was carried out on patients who were admitted in Victoria Hospital Bangalore from September 2022 to September 2023 with radiological evidence of solid organ injury post blunt trauma to abdomen, the case sheets of the respective patients were then analyzed for subsequent management given and prognosis achieved. We could easily manage the patients with severe isolated liver, spleen, and renal injuries in hemodynamically stable patients using the non-operative method. The operative group had longer hospital stays (20 days average) when compared with non-operative group (10 days average). Non-operative management failed in 8 patients who had delayed bleeding presenting between 20-72 hours and underwent splenectomy. In this 52 patients had isolated liver injuries (28%), 1 patient had isolated pancreatic injury (0.005%), 6 patients had isolated renal injury (0.32%), and 63 patients had isolated splenic injury (34.05%).

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