Research article
Spectrum of abdominal organ injury in a primary blast type
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* Corresponding author: Imtiaz Wani imtazwani@gmail.com
1 Department of Surgery, S.M.H.S Hospital, Srinagar, Kashmir, India
2 Department of Surgery SKIMS, Srinagar, Kashmir, India
World Journal of Emergency Surgery 2009, 4:46 doi:10.1186/1749-7922-4-46
Published: 21 December 2009Abstract
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.