Background: Abdominal trauma continues to account for a large number of trauma-related injuries and deaths. Motor vehicle accidents and urban violence, respectively, are the leading causes of blunt and penetrating trauma to this area of the body. So the aim of the study is to find out the incidence of splenic injury in adult abdominal trauma from March 2017 to August 2018. And to assess the efficacy of abdominal USG in grading splenic injury.
Materials and Methods: This prospective and observational based clinical study was carried out on patients admitted in Hamidia Hospital associated with Gandhi Medical College Bhopal. After admission, data for the study were collected by detailed history, thorough clinical examination, and relevant diagnostic investigations performed over the patient.
Results: In our study, 107 victims of abdominal trauma (blunt or penetrating) were observed. Out of them 13 patients suffered splenic trauma. USG grading splenic injury to be grade 1, 2, 3 were managed conservatively and higher grade were operated. There were 3 splenectomies and 1 splenorrhaphy done. Incidence of splenic injury was 13% and USG efficacy in grading splenic injuy was 100%. Patient who died in the study were due to associated trauma and no death occurred primarily due to splenic injury when mortality was 4.5% in the study. Also most common cause of abdominal trauma was road traffic accidents (RTA) 72% with 81% patients being males.
Conclusion: RTAs form the most common mode of injury; hence, measures should be taken to prevent these accidents and measures should be taken for immediate referral to the hospital and urgent USG and CT scan of the patient and appropriate management, to avoid any mortality of the patient.