K. Roja Ramani Kumbha1, K. Manohar2
Development of abdominal wall begins in the earliest stages of embryonic differentiation from the plate of the embryonic mesoderm,(1) retroperitoneum, covered with peritoneum, only terminal part suspended by the mesentery and it is mobile. The incidences of hollow organ injury is rare compared to non-hollow organ i.e. 1% to 3% of abdominal trauma cases.(2) In that splenic injury, nonoperative protocols result in a significant improvement in splenic salvage in both children and adults.(3) Injuries of the gastrointestinal tract may give rise to a wide variety of presenting symptoms and signs a careful history and physical examination essential in diagnosis and avoid over-investigations.(4) Physical examination is not enough for diagnosis and it was reliable in 30% of blunt trauma injuries,(5) early presentation decreases the mortality and morbidity of cases. In study, we observed spleen is commonly involved organ and incidence is 40% of blunt trauma.
To compare the incidence of splenic injury to other organs involved after blunt trauma abdomen.
This study was undertaken at S.V.R.R.G. Hospital during the year January 2014 to December 2015 on patients who attended the casualty with blunt trauma to abdomen.
During one year period, 24 cases were met with blunt trauma to abdomen. In those, 9 cases were noted as splenic trauma, incidence rate is 40%. Commonly liver is the most commonly involved organ, but in my study, observed that spleen is most commonly involved than other organs.
There is less morbidity and mortality after splenic trauma in early presentation of the patient to hospital and automobile (RTA) the main reason of the blunt trauma. If the patient vaccinated during postoperative period the OPSI infections is rare all the patients diagnosed as more than grad 3 injuries so all patients under went splenectomy not possible to treat the patient conservatively.