Clinical-Surgical Characteristics of Patients with Blunt Abdominal Trauma

Authors

Keywords:

blunt abdominal trauma, morbidity, imaging diagnosis, surgical treatment

Abstract

Introduction: Blunt abdominal trauma can cause severe organ injury with hemorrhage demanding emergent surgical treatment. It is the leading cause of preventable death among all age groups.

Objective: To assess the clinical-surgical characteristics of patients with blunt abdominal trauma.

Methods: A descriptive and retrospective observational study was carried out to assess the characteristics of blunt abdominal trauma in 81 patients treated at Roberto Rodríguez Fernández General Provincial Teaching Hospital of Morón from January 2014 to December 2019.

Results: Young adults represented the predominant age group (34.6%), together with the male sex (19.8%). Traffic accident (48.1%) was the main cause. Hemorrhagic symptoms (39.5%) was the most relevant clinical symptoms, followed by abdominal pain (38.3%). Positive results in complementary tests were represented by abdominal ultrasound (74.1%), followed by abdominal puncture (9.9%). Hepatic lesions (27.0%) was the most affected solid viscera, followed by splenic lesions (19.0%). 77.8% of cases were operated on and hepatic surgical techniques were the most frequently used, accounting for 17 cases (26.9%). Hypovolemic shock (12.7%) was the most frequent postoperative complication. A death rate of 12.3% was reported.

Conclusions: The patient with blunt abdominal trauma should always be considered polytraumatized, in which case the initial treatment is aimed at rapid stabilization and identification of life-threatening injuries.

Downloads

Download data is not yet available.

Author Biographies

Armando Rivero León, Hospital General Provincial “Roberto Rodríguez Fernández” de Morón Universidad de Ciencias Médicas de Ciego de Ávila

Especialista de II Grado en Cirugía General. Profesor Auxiliar Principal. Máster en Urgencias Médicas. Investigador Agregado.

Margis Núñez Calatayud, Hospital General Provincial “Roberto Rodríguez Fernández” de Morón Universidad de Ciencias Médicas de Ciego de Ávila

Especialista de II Grado en Anatomía de Patológica, Profesora Auxiliar Principal, Máster en Urgencias Médicas, Investigador Agregado.

José Antonio Hernández Liven, Hospital General Provincial “Roberto Rodríguez Fernández” de Morón Universidad de Ciencias Médicas de Ciego de Ávila

Especialista de I Grado en Medicina General Integral y Cirugía General. Profesor Instructor. Máster en Urgencias Médicas.

Adriana Quesada Vázquez, Hospital General Provincial “Roberto Rodríguez Fernández” de Morón Universidad de Ciencias Médicas de Ciego de Ávila

Especialista de I Grado en Pediatría. Asistente.

Published

2022-03-03

How to Cite

1.
Rivero León A, Núñez Calatayud M, Hernández Liven JA, Quesada Vázquez A. Clinical-Surgical Characteristics of Patients with Blunt Abdominal Trauma. Rev. Cub. Cir. [Internet]. 2022 Mar. 3 [cited 2025 Jan. 18];61(1). Available from: https://revcirugia.sld.cu/index.php/cir/article/view/1259

Issue

Section

Artículos originales