Autopsy Study of Pattern of Splenic Injuries
DOI:
https://doi.org/10.48165/Keywords:
Blunt and penetrating abdominal trauma, Splenic injuriesAbstract
The spleen is the most frequently injured organ in blunt abdominal trauma, and a missed splenic injury is the most common cause of preventable death in trauma patients. The purpose of this study was to investigate the prevalence of spleen injuries in non surviving patients with abdominal trauma by evaluating the compiled autopsy study data. Abbreviated Injury Scale is used to determine the severity of splenic injuries. In the present study, 18.8% of victims belong to third decade and 29.7% of victims belong to fourth decade. Women were less involved than men with a ratio of 1:3.5. In our study, the vast majority of patients, 54 (84%), sustained blunt injuries and the remaining, 10 (16%), patients had penetrating injuries. Since the spleen is highly vascular and friable having immense immunological and haematological importance, timely diagnosis and management of splenic injuries goes a long way in improving the mortality and morbidity rates in trauma cases.
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References
1. Jansen JO, Yule SR, Loudon MA. Investigation of blunt abdominal trauma. BMJ 2008; 336: 938-42.
2. Cigdem MK, Onen A, Siga M, Otcu S. Selective nonoperative management of penetrating abdominal injuries in children. J Trauma 2009; 67: 1284-6.
3. Javed NQ, Zahid AQ, Parkash A, Abdul SM. Gun-shot perforation of gut and associated injuries. Pak J Surg 2001; 6: 21-3.
4. Ayub H. Assessment of blunt abdominal trauma. J Ayub Med Coll Abbottabad 1997; 9: 27-8.
5. Khan A. Stab wounds abdomen: An experience with 105 laparotomies. J Ayub Med Coll Abbottabad 1999; 11: 6-8.
6. Potoka DA, Schall LC, Gardner MJ, Stafford PW, Peitzman AB, Ford HR. Impact of pediatric trauma centers on mortality in a statewide system. J Trauma 2000; 49: 237-45.
7. Upadhyaya P, Simpson JS. Splenic trauma in children. Surg Gynecol Obstet 1968;126:781-90.
8. Knudson MM, Maull KI. Nonoperative management of solid organ injuries. Past, present, and future. Surg Clin North Am 1999; 79: 1357-71.
9. Hofman K, Primack A, Keusch, G and Hrynkow S. Addressing the growing burden of trauma and injury in low-and middle income countries. Am J Public Health 2005; 95(1): 13-17.
10. Brady RR, Bandari M, Kerssens JJ, Paterson-Brown S, Parks RW. Splenic trauma in Scotland: demographics and outcomes. World J Surg 2007; 31(11): 2111-6.
11. Cooper A, Barlow B, DiScala C, String D. Mortality and truncal injury: the pediatric perspective. J Pediatr Surg 1994; 29(1): 33-8.
12. Ohanaka EC, Osime U, Okonkwo CE. A five year review of splenic injuries in the University of Benin Teaching Hospital, Benin City, Nigeria. West Afr J Med 2001; 20(1): 48-51.
13. Phillipo LC, Joseph BM, Geofrey G, et al. Splenic injuries at Bugando Medical Centre in northwestern Tanzania: a tertiary hospital experience. BMC Res Notes 2012; 5:59 doi: 10.1186/ 1756-0500-5-59.
14. Najeeb SJ, Thoalfikar HB. Management of Traumatic Ruptured Spleen. Iraqi Medical J 2010; 56: 25-31.
