Spectrum of abdominal organ injury in a primary blast type.
BACKGROUND
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.


OBJECTIVE
Study various abdominal organ injuries occurring in a primary type of blast injury.


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.
Wani
Imtiaz
I
Department of Surgery, S.M.H.S Hospital, Srinagar, Kashmir, India.
Parray
Fazal Q
FQ
Sheikh
Tariq
T
Wani
Rauf A
RA
Amin
Abid
A
Gul
Imran
I
Nazir
Mir
M