From the prospective observational study on 25 cases admitted with abdominal trauma and splenic injury that are hemodynamically stable in the department of general surgery. Maximum number of cases was in 26‐35 years age group (40%). 84% of cases were in 15‐45 years age. 96% of cases were males. M: F ratio was 24:1.Road traffic accident was the most common cause of splenic (72%). And blunt trauma was most common type of injury. All (100%) patients presented with pain abdomen. Vomiting was present in 40% cases and distension of abdomen in 20%. Most common sign on admission was tenderness (100%) followed by guarding (80%) and Rigidity (40%). Rib fracture was the most common associated injury (60%). CT‐scan abdomen was most sensitive investigation to grade the splenic injuries. Commonest grade of splenic injury was grade II (28%). 9 cases (36%) were managed operatively whereas 16 (64%) cases were managed non operatively. All the 9(36%) cases who underwent splenectomy were vaccinated. Wound infection was most common post‐operative complication.
D. Vijaya Kumar and B. Chandra Sekhar Reddy. A Clinical Study on Management of Splenic Injuries in Abdominal Trauma.
DOI: https://doi.org/10.36478/10.36478/makrjms.2023.12.598.601
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2023.12.598.601