Incidence of splenectomy in blunt abdominal trauma (Minia university hospital experience)
Abdel-Aziz, A., Mahmoud, S., El.Sherief, A., Kamal El-Din, A., Mohamed, A. (2019). Incidence of splenectomy in blunt abdominal trauma (Minia university hospital experience). EKB Journal Management System, 30(4), 253-259. doi: 10.21608/mjmr.2022.221734
Asaad A. Abdel-Aziz; Salah El-Din A. Mahmoud; Ashraf M. El.Sherief; Ahmed M. Kamal El-Din; Ashraf A. Mohamed. "Incidence of splenectomy in blunt abdominal trauma (Minia university hospital experience)". EKB Journal Management System, 30, 4, 2019, 253-259. doi: 10.21608/mjmr.2022.221734
Abdel-Aziz, A., Mahmoud, S., El.Sherief, A., Kamal El-Din, A., Mohamed, A. (2019). 'Incidence of splenectomy in blunt abdominal trauma (Minia university hospital experience)', EKB Journal Management System, 30(4), pp. 253-259. doi: 10.21608/mjmr.2022.221734
Abdel-Aziz, A., Mahmoud, S., El.Sherief, A., Kamal El-Din, A., Mohamed, A. Incidence of splenectomy in blunt abdominal trauma (Minia university hospital experience). EKB Journal Management System, 2019; 30(4): 253-259. doi: 10.21608/mjmr.2022.221734

Incidence of splenectomy in blunt abdominal trauma (Minia university hospital experience)

Minia Journal of Medical Research
Article 40, Volume 30, Issue 4, October 2019, Page 253-259  XML PDF (486.31 K)
Document Type: Original Article
DOI: 10.21608/mjmr.2022.221734
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Authors
Asaad A. Abdel-Aziz1; Salah El-Din A. Mahmoud1; Ashraf M. El.Sherief2; Ahmed M. Kamal El-Din1; Ashraf A. Mohamed1
1Department of General Surgery, El-Minia Faculty of Medicine
2Department of Radiodiagnostic, El-Minia Faculty of Medicine
Abstract
Objective: To determine the Incidence of splenectomy in blunt abdominal trauma in minia 
university hospital. Methodology: This study was carried out in our Department of Accident 
and Emergency, Minia University Hospital, from August 2017 to August 2019. We perform 
Focused Assessment with Sonography in Trauma (FAST) scan as part of the primary or 
secondary survey of the trauma patient in the emergency department in all patients with 
suspected blunt abdominal trauma. All Stable patients among all patients underwent CT scan 
and all Unstable patients underwent laparotomy directly without CT scan. Results: 150 
patients were included in our study with suspected blunt abdominal trauma who underwent 
CT abdomen or exploratory laparotomy or both CT abdomen and exploratory laparotomy. 
The mean age was 32.3±14.4 years. It included 111 (74%) males and 39 (26%) females. 112 
(74.7%) cases presented due to road traffic accidents, 29 (19.3%) due to falls and 9 (6%) 
cases were the result of violence. Forty-four patients (29.3%) were hemodynamically unstable 
and 106 (70.7%) were hemodynamically stable. Our study showed that 40 (45%) of cases 
with intra-abdominal injuries had splenic injury. Conclusion: Splenic injury incidence in our 
experience is the most common injured organ. FAST scan has good diagnostic accuracy. It 
can be routinely utilized to triage the blunt abdominal trauma patients for laparotomy.

Keywords
splenectomy; blunt abdominal trauma; CT abdomen
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