Evaluation of blunt abdominal trauma

Background: Symptoms of blunt abdominal trauma and the related diagnostic methods are of great importance. Objective: To evaluate blunt abdominal trauma in Shahid Rajaee hospital of Qazvin. Methods: Through a retrospective study, 313 patients with blunt abdominal trauma out of 1017 traumatic cases, who referred to Shahid Rajaee hospital from 1993 to 1996, were selected. Findings: The findings indicated that the most common involved organs were spleen, liver, small bower, kidney and ureters respectively. The most common signs in alert patients were pain, drop of blood pressure and sign of peritonitis. More admissions happened in summer specially in the month of Shahrivar, and more in males than females with the rate of 4 to 1. There were 87.9% discharged cases and 9.9% mortality cases. 47% of the cases had splenic trauma, 25.5% liver trauma and 14.3% small bowel trauma. Conclusion: Different results specially in U.S.A is probably due to fastening the seat belts while driving which results in more bowel trauma and less liver trauma.