“CLINICAL EVALUATION AND MANAGEMENT OF PATIENTS WITH BLUNT TRAUMA ABDOMEN: A HOSPITAL BASED STUDY”

Abstract

Introduction: Blunt trauma abdomen occurs as a result of direct forces causing compression or shearing type injuries or deceleration injuries that result in damage to relatively xed structures. The evaluation of abdomen is very challenging and can often result in missed diagnosis. Aims & Objectives: To study the clinical presentation, evaluation, investigations and management of different intra-abdominal organ injury in blunt trauma abdomen. All the patients of trauma abdomen after initial resuscit Methods: ation and achieving hemodynamic stability, were subjected to careful clinical history and a thorough clinical examination. Based on the outcome of clinical and radiological evaluation, the management by operative or non-operative decision was made. A total of fty (50) consecutive blunt Results: trauma abdomen patients were admitted in Gulbarga institute of medical sciences hospital, from August 2021 to August 2022. In the present study, the blunt trauma abdomen was largely seen in age group of 21-30years with male predominance. Road trafc accidents was the leading cause for blunt trauma abdomen. And the Spleen was the most commonly injured organ. Conservative management was done in 28 patients and 22 patients were subjected to operative management. Conclusion: In blunt trauma abdomen, the initial hours after injury are very crucial and can be considered as the golden period of trauma which has better survival rate. The morbidity and mortality of the blunt trauma abdomen can be reduced by timely approach and appropriate management