Amin, Abid

Gul, Imran

Nazir, Mir

Parray, Fazal Q

Sheikh, Tariq

Wani, Imtiaz

Wani, Rauf A

World Journal of Emergency Surgery

English

PubMed

Imtiaz Wani

Fazal Q Parray

Tariq Sheikh

Rauf A Wani

Abid Amin

Imran Gul

Mir Nazir

Springer - Publisher Connector

Spectrum of abdominal organ injury in a primary blast type

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Abstract 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.</p

Amin Abid

Wani Rauf A

Sheikh Tariq

Parray Fazal Q

Wani Imtiaz

Gul Imran

Nazir Mir

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http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2803452

Spectrum of abdominal organ injury in a primary blast type

Abstract

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Springer - Publisher Connector

Springer - Publisher Connector

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Directory of Open Access Journals