A clinico radiological study of penetrating trauma abdomen with special reference to fire arm injury abdomen

Abstract

Introduction: Abdominal trauma (blunt or penetrating) constitute 5- 10% of total case of poly trauma admitted in a large hospital. Its mortality and morbidity is next to head injury .In urban countries penetrating wounds are one of the most common surgical emergency. The causes of wound may be due to knife, bullets, instruments and explosion fragments. Materials and Methods: The present study was done in all patients of 'penetrating trauma abdomen" admitted to the Nehru hospital, B.R.D. Medical College, Gorakhpur from May 2009 to June2010.This study includes only patients having peritoneal breach. Medico legal charting and necessary resuscitative measure done according to need for serious patients. Some necessary investigations were done in all patients these are routine blood and urine examination, blood sugar, serum urea, serum creatinine and serum electrolyte, plain x-ray chest PA view x-ray abdomen A Perfect position, peritoneal taping, USG abdomen if needed. Results: In our study most common visceral injury due to penetrating trauma abdomen was small bowel (69.3%), colon (09.9%), mesenteric tear (09.9%), stomach (06.6%), vascular injury (03.3%) and liver injury in (03.3%). The hospital stay from the time of admission to the discharge of the patients. Majority of patients (62.7 %) had total hospital stay of 07-13 days. The mortality of patients of penetrating trauma abdomen manage operatively. Mortality rate is 00.00%. Conclusion: The incidence of penetrating abdominal injury was 30 cases of total cases admitted in surgical ward. The maximum patients were as a victim of penetrating abdominal injury of in between 21 to 30 years of age in which males are affected more commonly (29). Male predominated to the females. Male and female ratio was 3:1. Gunshot injury counted for maximum number of case (14) {46.66%} and knife was observed to be used most commonly.