Cargando…
Spectrum of abdominal organ injury in a primary blast type
INTRODUCTION: Abdominal organ injury in a primary blast type is always challenging for diagnosis. Air containing abdominal viscera is most vulnerable to effects of primary blast injury. In any patient exposed to a primary blast wave who presents with an acute abdomen, an abdominal organ injury is to...
Autores principales: | , , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2009
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803452/ https://www.ncbi.nlm.nih.gov/pubmed/20025766 http://dx.doi.org/10.1186/1749-7922-4-46 |
_version_ | 1782176052951384064 |
---|---|
author | Wani, Imtiaz Parray, Fazal Q Sheikh, Tariq Wani, Rauf A Amin, Abid Gul, Imran Nazir, Mir |
author_facet | Wani, Imtiaz Parray, Fazal Q Sheikh, Tariq Wani, Rauf A Amin, Abid Gul, Imran Nazir, Mir |
author_sort | Wani, Imtiaz |
collection | PubMed |
description | INTRODUCTION: Abdominal organ injury in a primary blast type is always challenging for diagnosis. Air containing abdominal viscera is most vulnerable to effects of primary blast injury. In any patient exposed to a primary blast wave who presents with an acute abdomen, an abdominal organ injury is to be kept in a clinical suspicion. AIM: Study various abdominal organ injuries occurring in a primary type of blast injury. Material and methods: All those who had exploratory laparotomy for abdominal organ injuries after a primary blast injury for a period of 10 years from January 1998 - January 2008 were included in this retrospective study. RESULTS: Total 154 patients had laparotomy for abdominal organ injuries with a primary blast type of injury. Small intestine was damaged in 48 patients (31.1%) followed by spleen in 22.7% cases. 54 patients (35.06%) had more than one organ injured. Liver laceration was present in 30 patients (19.48%). Multiple small gut perforations were present in 37 patients (77.08%). Negative laparotomy was found in 5 patients (3.24%) whereas 3 (1.94%) had re-exploration. Mortality was present in 6 patients (3.89%). CONCLUSIONS: Primary blast injury causes varied abdominal organ injuries. Single or multiple organ damage can be there. Small intestine is commonest viscera injured. Laparotomy gives final diagnosis. |
format | Text |
id | pubmed-2803452 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28034522010-01-09 Spectrum of abdominal organ injury in a primary blast type Wani, Imtiaz Parray, Fazal Q Sheikh, Tariq Wani, Rauf A Amin, Abid Gul, Imran Nazir, Mir World J Emerg Surg Research article INTRODUCTION: Abdominal organ injury in a primary blast type is always challenging for diagnosis. Air containing abdominal viscera is most vulnerable to effects of primary blast injury. In any patient exposed to a primary blast wave who presents with an acute abdomen, an abdominal organ injury is to be kept in a clinical suspicion. AIM: Study various abdominal organ injuries occurring in a primary type of blast injury. Material and methods: All those who had exploratory laparotomy for abdominal organ injuries after a primary blast injury for a period of 10 years from January 1998 - January 2008 were included in this retrospective study. RESULTS: Total 154 patients had laparotomy for abdominal organ injuries with a primary blast type of injury. Small intestine was damaged in 48 patients (31.1%) followed by spleen in 22.7% cases. 54 patients (35.06%) had more than one organ injured. Liver laceration was present in 30 patients (19.48%). Multiple small gut perforations were present in 37 patients (77.08%). Negative laparotomy was found in 5 patients (3.24%) whereas 3 (1.94%) had re-exploration. Mortality was present in 6 patients (3.89%). CONCLUSIONS: Primary blast injury causes varied abdominal organ injuries. Single or multiple organ damage can be there. Small intestine is commonest viscera injured. Laparotomy gives final diagnosis. BioMed Central 2009-12-21 /pmc/articles/PMC2803452/ /pubmed/20025766 http://dx.doi.org/10.1186/1749-7922-4-46 Text en Copyright ©2009 Wani et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research article Wani, Imtiaz Parray, Fazal Q Sheikh, Tariq Wani, Rauf A Amin, Abid Gul, Imran Nazir, Mir Spectrum of abdominal organ injury in a primary blast type |
title | Spectrum of abdominal organ injury in a primary blast type |
title_full | Spectrum of abdominal organ injury in a primary blast type |
title_fullStr | Spectrum of abdominal organ injury in a primary blast type |
title_full_unstemmed | Spectrum of abdominal organ injury in a primary blast type |
title_short | Spectrum of abdominal organ injury in a primary blast type |
title_sort | spectrum of abdominal organ injury in a primary blast type |
topic | Research article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803452/ https://www.ncbi.nlm.nih.gov/pubmed/20025766 http://dx.doi.org/10.1186/1749-7922-4-46 |
work_keys_str_mv | AT waniimtiaz spectrumofabdominalorganinjuryinaprimaryblasttype AT parrayfazalq spectrumofabdominalorganinjuryinaprimaryblasttype AT sheikhtariq spectrumofabdominalorganinjuryinaprimaryblasttype AT waniraufa spectrumofabdominalorganinjuryinaprimaryblasttype AT aminabid spectrumofabdominalorganinjuryinaprimaryblasttype AT gulimran spectrumofabdominalorganinjuryinaprimaryblasttype AT nazirmir spectrumofabdominalorganinjuryinaprimaryblasttype |