Assessment of clinical presentation of splenic injuries in tertiary healthcare institute: a cross-sectional study

Author: 
Kshirsagar A. Y., Bhogawkar D P and Harshwardhan Saygaonkar

Background: Majority of cases with splenic injury are observed in second and third decade of life, this being the most active period of life when movements in motor vehicles and outdoor works result in increased risk of trauma. The present study was conducted to assess the clinical presentation of cases of splenic injuries following trauma admitted under department of general surgery.
Materials and methods: This present analytical study was conducted in the Department of Surgery, KIMS, Karad, Maharashtra, between March 2018 and August 2018 after an approval from institutional ethics committee.Total 60 patients, above 18 years presented with splenic trauma admitted under the department who consented to participate in the study were enrolled in the present study.
Results: Majority of the study subjects presented with Pain in abdomen (71.66%), followed by Tenderness (63.33%), Abdominal distension (41.66%), Dyspnea (20%), Nausea-Vomiting (30%) and Shock (18.33%).
Conclusion: Early hospitalization, better methods of diagnosis, proper timely surgical intervention, availability of blood transfusion, closed clinical observation and nursing care are important contributory factors for reduction in mortality resulting from blunt splenic trauma.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2019.17614.3346
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