Volume : VII, Issue : VII, July - 2017
SMALL BOWEL INJURIES IN ABDOMINAL TRAUMA
Mohamed Firdoze, 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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DOI : 10.36106/ijar
Cite This Article:
MOHAMED FIRDOZE, ILANGOVAN MUTHU KARUPPAIAH, SMALL BOWEL INJURIES IN ABDOMINAL TRAUMA, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾7 | July‾2017
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MOHAMED FIRDOZE, ILANGOVAN MUTHU KARUPPAIAH, SMALL BOWEL INJURIES IN ABDOMINAL TRAUMA, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾7 | July‾2017
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