DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20174962

A clinical study of hollow viscus injury due to blunt trauma abdomen

Sanjot B. Kurane, Subhod P. Ugane

Abstract


Background: Blunt trauma abdomen is one of the most common causes of morbidity and mortality among younger age group. Hollow viscus injury is one of the most common cause of mortality following blunt trauma abdomen. The Objective of this research was to study clinical presentation, diagnostic methods, treatment modalities and outcome of hollow viscus injury following blunt trauma abdomen.

Methods: All patients with hollow viscus injury were included in this study, All the clinical, operative and postoperative parameters were recorded. It was a retrospective observational study.

Results: Total number of patients with hollow viscus injury following blunt trauma abdomen were 15%. Amongst them 88.88% were males and remaining were females. The mean age of patients was 32 years. Road traffic accident was the most common cause of blunt trauma abdomen, seen in 72 % of patients. In 81.25% patients free gas under diaphragm was seen and remaining patients were diagnosed by ultrasonography. Ileum is most commonly site of perforation, and postoperative complications were seen in 66% of patients. Mortality was seen in 22.22% of patients.

Conclusions: Hollow viscus injury following blunt trauma abdomen commonly seen in younger age group, and involves small bowel. Repeated clinical examination with appropriate imaging with multidisciplinary teamwork is the key for timely intervention for successful outcomes.


Keywords


Blunt trauma abdomen, Complication, Diagnostic methods, Hollow viscus injury, Mortality

Full Text:

PDF

References


Cusheri A, Giles G. R., Moosa A. R: Essential Surgical Practice; Butterworth International Fifth Ed. 1998:263-304.

Martin RS, Meredith JW. Management of acute trauma.In:Townsed CM, Beachamp RD, Evers BM, Mattox KL, editors. Sebiston Textbook of Surgery:The Biological Basis of Modern Surgical Practice 19th edition. Canada; Elsevier Saunders:2012; p430-469

Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D. Relatively short diagnostic delays (<8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. J Trauma and Acute Care Sur. 2000;48(3):408-15.

Bruscagin V1, Coimbra R, Rasslan S, Abrantes WL, Souza HP, Neto G, et al. Blunt gastric injury. A multicentre experience. Injury. 2001;32(10):761-4.

Fraga GP, Silva FH, Almeida NA, Curi JC, Mantovani M. Blunt abdominal trauma with small bowel injury: are isolated lesions riskier than associated lesions? Acta Cir Bras. 2008;23(2):192-7.

Sule AZ, Kidmas AT, Awani K, Uba F, Misauno M. Gastrointestinal perforation following blunt abdominal trauma. East Afr Med J. 2007;84(9):429-33.

Dauterive AH, Flancbaum L, Cox EF. Blunt intestinal trauma. A modern-day review. Ann Sur 1985;201(2):198-203.

Kulvatunyou N, Albrecht RM, Bender JS, Friese RS, Joseph B, Latifi R, et al. Seatbelt triad: severe abdominal wall disruption, hollow viscus injury, and major vascular injury. Am Surg. 2011;77(5):534-8.

Archampong EQ, Anyawu CH, Ohaegbulam SC, Yeboah ED. Management of the injured patient. In: Principles and Practiceof Surgery Including Pathology in the Tropics, 3rd edn. Tema, Ghana: Ghana Publishing Company. 2000:142-77.

Bege T, Brunet C, Berdah SV. Hollow viscus injury due to blunt trauma: a review. J Vis Surg. 2016;153(4):61-8.

Ameh EA, Nmadu PT. Gastrointestinal injuries from blunt abdominal trauma in children. East A Med J. 2004 Apr;81(4):194-7.

Munns J, Richardson M, Hewett P. A review of intestinal injury from blunt abdominal trauma. Aust N Z J Surg. 1995;65(12):857-860.

Dongo AE, Kesieme EB, Irabor DO, Ladipo JK. A review ofPosttraumatic bowel injuries in Ibadan. ISRN Surg. 2011;2011:1-4.

Kulkarni SH. A study of traumatic perforation peritonitis in a rural medical college hospital with identification of risk factors. Int J Health Care Biomed Res. 2014;2(3):201-9

Bajiya PR, Jain S, Meena LN. Gastrointestinal perforation following blunt trauma abdomen: a study of 78 cases. Int J Med Sci Public Health. 2016;5:1225-8.