ABSTRACT
Background: Severe trauma is a key worldwide health concern. Approximately one mortality in ten cases is caused by traumatic injury, and over 5.8 million individuals lose their lives every year all over the world, which is expected to rise f and reach above 8 million by 2020. The World Health Organization (WHO) revealed that three major causes of injury and violence-related deaths are related to road traffic accidents, suicide and homicide. Coupled with that, there have been so many national and international interventions that prevent violence and traumatic injuries, and that give guidelines on how to treat trauma victims. The number one cause of possible death that can be avoided is uncontrolled post-traumatic bleeding of the injured patient trauma patient being a very expensive issue to many societies.
Objective: The study will establish frequencies of abdominal injuries that occurred in patients of pelvic fracture who presented to a tertiary care hospital having sustained any blunt abdominal trauma.
Subject and Methods: A total of 336 patients under the inclusion and exclusion criteria who presented in Emergency department of CHK were approached and their informed consent was taken and all were put through the short history and clinical examination which included any treatment that the patient had in case he had the injuries of pelvic fracture and any other associated injury. Pelvic fracture and any related injuries were employed using the CT scan abdomen with contrast as adjuvant diagnostic tool. Exploratory laparotomy was carried out in all the patients at next available immediate list of OT that is within 48 hours with an aim of detecting any associated abdominal injury. After detection, the patients were keenly surveyed to identify the forms of trauma that cause pelvic entity and injury. Pro-forma aims at capturing the results of the research done by the researcher.
Results: The mean age of the patients was 31.27+8.29, 163(48.5) were female study subjects and 173(51.5) were male patients. 29(8.6) patients sustained liver injury, 19(5.7) patients sustained bladder/urethra injury, 16(4.8) patients sustained spleen injury, 11(3.3) patients sustained diaphragm injury and only 6(1.8) patients sustained the small bowel injury
Conclusion: We determine that the probability of serious intra-abdominal injury is much higher in patients with severe pelvic trauma and advise that in all of the patients with severe pelvic trauma a low threshold should be created in the utilization of diagnostic imaging of the abdomen.
Keywords: Abdominal Injuries, Pelvis fracture, Blunt Abdominal Trauma.