Volume : IX, Issue : I, January - 2020

SOLID ORGAN INJURIES IN BLUNT ABDOMINAL TRAUMA IN CHILDREN

K. Ravi

Abstract :

INTRODUCTION: Trauma has come to occupy a prominent position as one of the preventable cause of death children. In developed countries trauma to the abdomen is mainly due to road traffic accidents. Abdomen is the third most commonly injured part of the body next to injuries to extremities and head injuries in children. Blunt injury to the abdomen causes single organ injury or multiple organ injury according to the severity of the accident. AIM OF THE STUDY: To evaluate the impact of blunt abdominal trauma on various intra abdominal solid organs such as liver, spleen, pancreas and kidney with regard to age, sex and various modes of blunt injuries. To evaluate various associated injuries occurring in blunt abdominal trauma. To evaluate the value of various available investigations employed for the diagnosis of the solid organ injuries in blunt abdominal trauma. To analyse the various modalities of treatment available for solid organ injuries. To compare the incidence and mode of injuries due to agricultural and agricultural related activities with that of road traffic accidents. MATERIAL AND METHODS: Forty five children of blunt abdominal trauma with solid organ injuries admitted in our hospital during the period of July 2015 to June 2019 were taken for this study. The clinical features were studied in detail with special note to any associated injuries like head injury, chest injury and fracture limbs. Plain X–Ray of the abdomen, Ultrasonogram of abdomen, intravenous urogram and CAT scan abdomen were done in relevant cases. Laparotomy was done except when conservative management was planned. OBSERVATION: In our study of forty five patients, solid organ injuries confirmed clinically in thirty four patients, by ultrasonogram in nine patients and by postmortem finding in two patients. In this study, the number of splenic injuries was twenty, liver injuries were fourteen, pancreatic injuries were eight and renal injuries were three. Injury due to road traffic accidents was the cause in twenty five cases, injury during agricultural activities was seventeen and injury due to fall from height was the cause in three cases. CONCLUSION: The commonest intra abdominal organ injured was spleen followed by liver pancreas and kidney. The commonest associated injury was chest injury followed by injury to the extremities. Biochemical investigations are not very useful in the diagnosis of specific intra abdominal organ injury. Imaging studies like x– ray, ultrasonogram and CT scan are only complimentary to clinical diagnosis. In the management, conservation procedures are better advocated for minor injuries. Injury occurring during agricultural and related activities is more in this region due to agricultural nature of this part of Tamilnadu.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

SOLID ORGAN INJURIES IN BLUNT ABDOMINAL TRAUMA IN CHILDREN, K. Ravi PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-9 | Issue-1 | January-2020

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