Vol. 5, Issue 11 (2019)
A clinical study of abdominal trauma with special reference to gastro-intestinal injuries
Author(s): Dr. Anuj Kumar Sarma, Dr. Arnav Das, Dr. Durlav Thengal
Abstract: Background: Abdominal trauma constitutes for about 10% of all trauma deaths and out of all forms of trauma to the body, abdominal trauma is the most complicated to tackle because the abdomen harbours a good number of vital organs, which may be involved in any combination, thereby endangering the life of the patients. The majority of small and large bowel injuries are caused by penetrating injuries; however, blunt injuries, although infrequent, are difficult to diagnose because patients may present with subtle findings at the time of admission. Aim: to evaluate the incidence of gastro–intestinal injuries according to age, sex and type of injury, common presenting features, frequency of its association with other injuries, its management and the different modalities of treatment, the effect of delay in treatment and the frequency of various complications Methods: All patients above 10 years of age with gastric or intestinal injuries with or without associated injuries were included in the study. Injuries to the abdominal viscera other than stomach or intestine and injuries to rectum and anal canal were excluded from the study. 40 such cases of gastrointestinal injuries attended the hospital during the specified time period. After a rapid assessment of the patient to rule out life threatening injuries and securing a patent airway and correcting any circulatory imbalance with control of any active bleeding, a detailed history and physical examination of the patient was carried out and surgical intervention was done accordingly. Conclusion: It can be said that morbidity and mortality associated with gastrointestinal injuries is quite acceptable if early treatment can be initiated. If appropriate surgery is performed without delay, the results are promising.