Trauma to Spleen: A Marker to Assess the Prognosis In Blunt Trauma to Abdomen Cases

Authors

  • Mohd Asrarul Haque Junior Resident III Dept. of Forensic Medicine J N Medical College Aligarh Muslim University, Aligarh 202 002
  • Munawwar Husain Prof, Dept. of Forensic Medicine J N Medical College Aligarh Muslim University, Aligarh 202 002
  • S Hasan Harris Assoc. Prof, Dept. of Surgery J N Medical College Aligarh Muslim University, Aligarh 202 002
  • Jawed A Usmani Prof & Chairman, Dept. of Forensic Medicine J N Medical College Aligarh Muslim University, Aligarh 202 002

DOI:

https://doi.org/10.48165/

Keywords:

Splenic injury,, Blunt trauma abdomen (BTA), Assault, RTA

Abstract

It has been reported that the emergency section of Jawaharlal Nehru Medical College Hospital,  Aligarh is predominantly occupied by trauma cases (85-90%) out of 100 attending per day. 40-50 patients  come as a result of assault and Road Traffic Accident (RTA). This study is primarily based on Blunt  Trauma to Abdomen and seeking answers to morbidity and mortality arising out of intra-abdominal  splenic injury. Amazingly, before the start of the project, the authors unfailingly assumed that splenic  injury carries higher risk of mortality irrespective of grading of injury to the organs.  Our study have demonstrated that out of our series of victims (n=250), 97 cases sustained  splenic injury of various grading, and a single mortality was reported. Splenic injury was also involved  along with injuries of other organs in the following decreasing sequence. However to make the study  more precise the authors have focused research on splenic trauma scale to mortality and morbidity. 

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References

Pachter HL, Guth AA, Hofstetter SR, Spencer FC. Changing patterns in the management of splenic trauma. Ann Surg. 1998; 227: 708–719.

Haque MA, Husain M, Usmani JA. Injury to spleen after fall from height in an unusual posture. JIAFM; 2014, 36 (2): 213-14. ISSN 0971-0973

Moore EE, Cogbill TH, Malangoni M, Jurkovich GJ, Champion HR. Scaling system for organ specific injuries. Trauma score, The American Association for the Surgery of Trauma. Accessed on 13rd Feb. 2015 at http://www.aast.org/library/traumatools/injuryscoringscales.aspx#

Saurabh G, Kumar S, Gupta A, Mishra B, Sagar S, Singhal M, Khan RN, Misra MC. Splenic trauma - our experience at a level I Trauma Center. Turkish Journal of Trauma & Emergency Surgery. 2011; 17 (3):238-242.

Yao T, Rong J, Liang M, Sun J, Xuan F, Zhao L, Wang X, Li F, Wang G, Han Y. Emergency treatment of splenic injury in a novel

mobile minimally invasive interventional shelter following disaster: a feasibility study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2014, 22: 44. Available at http://www.sjtrem.com/content/22/1/44

Peitzman AB, Heil B, Rivera L, et al. Blunt splenic injury in adults: multi-institutional Study of the Eastern Association for the Surgery of Trauma. J Trauma. 2000; 49: 187–189.

Gaunt WT, McCarthy MC, Lambert CS, et al. Traditional criteria for observation of splenic trauma should be challenged. Am. Surg. 1999; 65: 689–691.

Willmann JK, Roos JE, Platz A, et al. Multi-detector CT: detection of active hemorrhage in patients with blunt abdominal trauma. AJR Am J Roentgenol. 2002; 179: 437–444.

Fata P, Robinson L, Fakhry SM. A survey of EAST member practices in blunt splenic injury: a description of current trends and opportunities for improvement. J Trauma. 2005; 59: 836–841.

Shapiro MJ, Krausz C, Durham RM, et al. Overuse of splenic scoring and computed tomographic scans. J Trauma. 1999; 47: 651–658.

Velmahos GC, Zacharias N, Emhoff TA, et al. Management of the most severely injured spleen. Arch Surg. 2010; 145: 456–460. 12. Rajani RR, Claridge JA, Yowler CJ, et al. Improved outcome of adult splenic injury: a cohort analysis. Surgery. 2006; 140: 626– 632.

Izu BS, Ryan M, Markert RJ, et al. Impact of splenic injury guidelines on hospital stay and charges in patients with isolated splenic injury. Surgery. 2009; 146: 787–791.

Savage SA, Zarzaur BL, Magnotti LJ, et al. The evolution of blunt splenic injury: resolution and progression. J Trauma. 2008; 64: 1085–1092.

Forsythe RM, Harbrecht BG, Peitzman AB. Blunt splenic trauma. Scand. J Surg. 2006; 95:146–51.

Mirvis SE, Whitley NO, Gens DR. Blunt splenic trauma in adults

Published

2016-01-30

How to Cite

Haque, M. A., Husain, M., Harris, S. H., & Usmani, J. A. (2016). Trauma to Spleen: A Marker to Assess the Prognosis In Blunt Trauma to Abdomen Cases . Journal of Indian Academy of Forensic Medicine, 37(4), 385-387. https://doi.org/10.48165/