A retrospective Study on Intestinal Injury from Blunt Abdominal Trauma
Introduction: Blunt abdominal trauma is the primary cause of morbidity and mortality. Suppose there are no indications of external trauma or changes in the patient's vital signs; blunt abdominal injuries might be complicated to identify at first. It is possible to lose a significant amount of...
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Albanian Society for Trauma and Emergency Surgery
2025-01-01
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| Series: | Albanian Journal of Trauma and Emergency Surgery |
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| Online Access: | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/404 |
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| author | Muralidharan Kannaian Bhaskara Rao Bezawada Vinod K Subash Chandra Bose |
| author_facet | Muralidharan Kannaian Bhaskara Rao Bezawada Vinod K Subash Chandra Bose |
| author_sort | Muralidharan Kannaian |
| collection | DOAJ |
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Introduction: Blunt abdominal trauma is the primary cause of morbidity and mortality. Suppose there are no indications of external trauma or changes in the patient's vital signs; blunt abdominal injuries might be complicated to identify at first. It is possible to lose a significant amount of blood without the abdomen appearing significantly different. A direct blow from blunt trauma can result in visceral damage and solid organ rupture, which can cause hemorrhage, peritonitis, and related pelvic injuries. The liver, small bowel, and spleen are the most frequently injured organs.
Objectives: To find out the etiology, manifestation, anatomical distribution, diagnostic method, management, and outcome of intestinal injuries from blunt abdominal trauma.
Material and Methods: About 59 individuals who had laparotomies during a 3-year period to treat intestine damage from traumatic abdominal trauma were included in the research. In a retrospective analysis, the patients' causes, presentations, anatomical distributions, diagnostic techniques, related injuries, courses of therapy, and deaths were all examined.
Results: About 59 individuals with 60 significant bowel and mesentery lesions from blunt abdominal trauma were conducted. The average age was 36.78 years, and the male-to-female ratio was 5.5: 1. About 60 people sustained severe injuries. Furthermore, there were 50 minor intestinal injuries, which included 48 perforations, 12 major seromuscular injuries, and seven mesenteric, eleven colonic, and one duodenal injury. Thirty-three individuals suffered injuries from automobile incidents. The most frequent damage was a perforation at the small bowel's antimesenteric boundary. For colonic perforations, treatment included protective colostomy after resection, anastomosis, and perforation repair. There were 2 (3.38%) documented fatalities, and 10 (16.9%) individuals experienced significant problems.
Conclusion: Due to its enormous infectious potential, early detection of intestinal injuries following severe abdominal trauma is crucial, even if it might be challenging. Severe injuries are frequently linked to intestinal perforations and are likely the deciding factors in survival.
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| format | Article |
| id | doaj-art-bb030ac3dd3e4f1cb774d81af2bb705f |
| institution | Kabale University |
| issn | 2521-8778 2616-4922 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj-art-bb030ac3dd3e4f1cb774d81af2bb705f2025-01-19T14:24:43ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-01-019110.32391/ajtes.v9i1.404A retrospective Study on Intestinal Injury from Blunt Abdominal TraumaMuralidharan Kannaian0Bhaskara Rao Bezawada1Vinod K2Subash Chandra Bose3Sri Lakshmi Narayana Institute of Medical Sciences Bharath Institute of Higher Education and ResearchMelmaruvathur Adhiparasakthi Institute Of Medical Sciences And Research, Tamilnadu, INDIASri Lakshmi Narayana Institute of Medical Sciences Bharath Institite of ResearchAarupadai Veedu Medical College, Puducherry, INDIA Introduction: Blunt abdominal trauma is the primary cause of morbidity and mortality. Suppose there are no indications of external trauma or changes in the patient's vital signs; blunt abdominal injuries might be complicated to identify at first. It is possible to lose a significant amount of blood without the abdomen appearing significantly different. A direct blow from blunt trauma can result in visceral damage and solid organ rupture, which can cause hemorrhage, peritonitis, and related pelvic injuries. The liver, small bowel, and spleen are the most frequently injured organs. Objectives: To find out the etiology, manifestation, anatomical distribution, diagnostic method, management, and outcome of intestinal injuries from blunt abdominal trauma. Material and Methods: About 59 individuals who had laparotomies during a 3-year period to treat intestine damage from traumatic abdominal trauma were included in the research. In a retrospective analysis, the patients' causes, presentations, anatomical distributions, diagnostic techniques, related injuries, courses of therapy, and deaths were all examined. Results: About 59 individuals with 60 significant bowel and mesentery lesions from blunt abdominal trauma were conducted. The average age was 36.78 years, and the male-to-female ratio was 5.5: 1. About 60 people sustained severe injuries. Furthermore, there were 50 minor intestinal injuries, which included 48 perforations, 12 major seromuscular injuries, and seven mesenteric, eleven colonic, and one duodenal injury. Thirty-three individuals suffered injuries from automobile incidents. The most frequent damage was a perforation at the small bowel's antimesenteric boundary. For colonic perforations, treatment included protective colostomy after resection, anastomosis, and perforation repair. There were 2 (3.38%) documented fatalities, and 10 (16.9%) individuals experienced significant problems. Conclusion: Due to its enormous infectious potential, early detection of intestinal injuries following severe abdominal trauma is crucial, even if it might be challenging. Severe injuries are frequently linked to intestinal perforations and are likely the deciding factors in survival. http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/404intestinal injuryabdominal traumaexternal trauma |
| spellingShingle | Muralidharan Kannaian Bhaskara Rao Bezawada Vinod K Subash Chandra Bose A retrospective Study on Intestinal Injury from Blunt Abdominal Trauma Albanian Journal of Trauma and Emergency Surgery intestinal injury abdominal trauma external trauma |
| title | A retrospective Study on Intestinal Injury from Blunt Abdominal Trauma |
| title_full | A retrospective Study on Intestinal Injury from Blunt Abdominal Trauma |
| title_fullStr | A retrospective Study on Intestinal Injury from Blunt Abdominal Trauma |
| title_full_unstemmed | A retrospective Study on Intestinal Injury from Blunt Abdominal Trauma |
| title_short | A retrospective Study on Intestinal Injury from Blunt Abdominal Trauma |
| title_sort | retrospective study on intestinal injury from blunt abdominal trauma |
| topic | intestinal injury abdominal trauma external trauma |
| url | http://journal.astes.org.al/AJTES/index.php/AJTES/article/view/404 |
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