Abstract

A STUDY OF 60 CASES OF HAEMOPERITONEUM FOLLOWING ABDOMINAL TRAUMA

Dr. M. K. Sanjana and Dr. Mayank Jain*

ABSTRACT

Introduction: Road traffic accidents causing abdominal trauma are the most common cause of haemoperitoneum, affecting health related quality of life of young workhouse of the nation. Here we studied 60 cases of haemoperitoneum following abdominal trauma including presentation, management and outcomes. Material and Methods: 60 cases of haemoperitoneum were studied following blunt or penetrating abdominal trauma from Sept 2013 to Nov 2014. Patient’s demographic profile, blood investigation and x ray, USG abdomen and CT Abdomen findings were noted. Patients either managed conservatively or surgically. Postoperative outcomes, morbidity and mortality were also recorded. Results: Young population from 18-37 years are most commonly affected i.e. 84%. 93% were males. 1/3rd patients reported in golden hour< 4hours while 8(13%) patients reported after 24 hours. 57% patients had road traffic accidents with head injury being most common associated injury (43%).Nearly half of patients had splenic injury and overall 2/3rd patients were conserved. Complication rate was 23.3% and wound infection was most common as seen in 5 cases. Mortality rate was 3%. Conclusion: Spleen is most commonly injured organ in abdominal trauma and trauma is mostly seen in young population. Adequate pre hospital care, timely diagnosis and prompt management of haemoperitoneum are key to successful outcome in abdominal trauma.

Keywords: Abdominal Trauma, Haemoperitoneum, Road traffic accidents, Young population, Splenectomy.