Abdominal Trauma in Children: 10-Year Experience in a Teaching Hospital in Enugu, Nigeria
International Journal of Clinical Dermatology
Volume 2, Issue 2, December 2019, Pages: 10-14
Received: Nov. 16, 2019;
Accepted: Dec. 2, 2019;
Published: Dec. 7, 2019
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Chukwubuike Kevin Emeka, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
Background: Abdominal traumas are injuries to the abdomen resulting from transfer of energy from the exterior to the abdomen. It is associated with significant morbidity and mortality especially in developing countries. Methodology: Children who presented with abdominal trauma at Enugu State University Teaching Hospital between January 2007 and December 2016 were evaluated. Diagnosis of abdominal trauma was made based on clinical assessment and imaging investigation. Results: Over the ten year period, there were 42 cases of abdominal trauma with male to female ratio of 3.7:1 and mean age of 9.1 years (4-14). Fall from height, accounting for 42.9% of the cases, was the most common cause of abdominal trauma. This is followed by road traffic accident (35.7%), bicycle handle injury 14.3%, gunshot injury 7.1%. Abdominal ultrasound was the most common imaging modality. The spleen was the most injured organ, followed by liver, kidney, and intestine in descending order. Non-operative treatment was successful in 85.3% of the patients while 14.7% had surgery. The mean duration of hospital stay was 9.8 days (1-14) and the mortality was 7.1%. Conclusion: Abdominal trauma affects children of all age groups. In the current study, fall from height was the most common mechanism of injury and the spleen was the most injured organ. Non–operative treatment was the predominant modality of treatment.
Chukwubuike Kevin Emeka,
Abdominal Trauma in Children: 10-Year Experience in a Teaching Hospital in Enugu, Nigeria, International Journal of Clinical Dermatology.
Vol. 2, No. 2,
2019, pp. 10-14.
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