Volume : VII, Issue : VI, June - 2017

SMALL BOWEL INJURIES IN ABDOMINAL TRAU

Dilip Kumar Kumaresan, Ilangovan Muthu Karuppaiah

Abstract :

 It is difficult to  identify the small bowel injury in  trauma. Intestinal injury  is the third most common organ injured in the abdominal trauma. This study is also aimed to find out how effectively we can improve the treatment to reduce the morbidity and  mortality. Materials and methods In this study, 22 patients who got penetrating injuries and 17 patients who got blunt injuries were analysed. After admission after doing resuscitation, the patients were enquired in  detail . Patient who is having penetrating injury into the peritoneum on wound injury were taken up for this study. OBSERVATION AND RESULTS Total number of  blunt abdominal injury cases taken were 17 . Among these duodenal Injury was 3 Cases ,Jejunal Injury    was 5 Cases and  Ileal Injury   was 9 Cases .in Penetrating injury, duodenal Injury was 3 Cases, Jejunal Injury was 8 Cases and  Ileal Injury          was 11 Cases CONCLUSION          In this study, 39 cases of small bowel injury reported to government Rajaji Hospital has been studied.The study has revealed that the commonest cause of blunt abdominal trauma are motor vehicular accidents. The commonest cause for penetrating injury is assault with pointing instrument or knife. Earlier the diagnosis of small Bowel Injuries better the prognosis confirms the other studies. But in the Majority of cases its clinical signs and symptoms are considerably masked and often misleading. Since a close clinical observation repeated examination by same person with the relevant data helps in proper diagnosis.        In addition to conventional treatment two cases of duodenal injuries due to stab wound were successfully managed with single layer interrupted 2 – 0 silk sutures to the duodenum and intra peritoneal flank drain in emergency situation saved the patients. 

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DILIP KUMAR KUMARESAN, ILANGOVAN MUTHU KARUPPAIAH, SMALL BOWEL INJURIES IN ABDOMINAL TRAU, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾6 | June‾2017

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