Journal of AdvancedMedical and Dental Sciences Research

Background: Trauma has been called the neglected disease of modern society, despite its close companionship with man. Trauma is the leading cause of death and disability in developing countries and the most common cause of death under 45 years of age. Hence; the present study was conducted for assessing the profile of patients reporting with blunt abdominal. Materials & methods: The present study was conducted on 200 patients admitted in the surgical ward, with blunt trauma abdomen (BAT). From the institutional ethical committee, ethical approval was taken and written consent was obtained from all the patients after explaining in detail the entire research protocol. On presentation, an assessment of the vital functions was done. Primary survey was focus on the ABC of resuscitation i.e. restoration of airway, breathing and circulation. The intra-operative finding i.e. organ involved in the injury sustained and management done was recorded. Results: Mean age of the patients was 38.6 years. 94 percent of the patients were males. Road traffic accident was the etiology in 76 percent of the patients. Abdominal distension was seen in 79.5 percent of the patients. Haematuria was seen in 9 percent of the patients. According to chest X- ray Abdomen with air under diaphragm was seen in 12 percent of the patients. Hematemesis was seen in 16 percent of the patients. Conclusion: Unlike penetrating abdominal trauma, where management is largely determined clinically, the diagnosis of blunt abdominal injury by clinical examination is unreliable, particularly in patients with a decreased level of consciousness.