A Clinical Study of Hollow Viscus Injuries in Abdominal Trauma

Authors

  • Bagammagari Raghuram Reddy
  • Annapareddy Raja Karan Reddy

DOI:

https://doi.org/10.37506/ijphrd.v14i4.18522

Keywords:

Hollow viscus injury, trauma, blunt, Omental patch

Abstract

Background: Blunt abdominal trauma results in injury to the bowel and mesenteries in 3—5% of cases. The injuries are
polymorphic including hematoma, seromuscular tear, perforation, and ischemia. They preferentially involve the small
bowel and may result in bleeding and/or peritonitis. The main diagnostic challenge is to promptly and correctly identify
injuries that require surgical repair.
Objectives: To study the incidence, management and outcome of Hollow Viscus Injuries in Abdominal Trauma
Methods: A comprehensive history was obtained from 50 patients attendants, including the patient’s demographic
characteristics, the type of injury (whether blunt or penetrating), the symptoms with which the patient presented, and the
time elapsed from injury to admission. All patients underwent baseline tests such as haemoglobin, platelet count, blood
urea, blood glucose levels, serum electrolytes, and blood grouping. Ultrasound and CT scans of the abdomen were not
performed on all patients. Patients whose x-rays or clinical examinations were inconclusive had USG and CT scans.
Results: Male predominance was observed with 72% and females were 28%. The male: female ratio was 2.57:1.Out of the
50 cases with these kinds of injuries 56% of the cases underwent primary closure of perforation. 20% cases had resection
and anastomosis. 14% of the cases had Omental patch closure of perforation and 10% cases with serosal tear underwent
simple repair
Conclusion: Many predictors of morbidity and mortality have been identified, and treatment delays have been identified
as a strong indication of morbidity that has a substantial impact on the post-operative path.

Author Biographies

Bagammagari Raghuram Reddy

Professor, Assistant Professor, Department of General Surgery, Gandhi medical college and hospital, Hyderabad Telangana.

Annapareddy Raja Karan Reddy

Assistant Professor, Department of General Surgery, Gandhi medical college and hospital, Hyderabad Telangana.

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Published

2022-10-10

How to Cite

Bagammagari Raghuram Reddy, & Annapareddy Raja Karan Reddy. (2022). A Clinical Study of Hollow Viscus Injuries in Abdominal Trauma. Indian Journal of Public Health Research & Development, 13(4), 48–51. https://doi.org/10.37506/ijphrd.v14i4.18522