title: A Prospective Study of Penetrating Abdominal Trauma at the University of Calabar Teaching Hospital, Calabar, Southern Nigeria.
abstract: BACKGROUND
  Abdominal injuries are on the increase in both developed and developing countries. The frequency of penetrating abdominal trauma (PAT) varies across the globe because it relates to industrialization, the weapons available, and the presence of military conflicts. This study sought to evaluate the current pattern and outcome of managementof PAT in Calabar, which is undergoing rapid urbanization, and with a focus on tourism.
  
  
  METHODS
  Patients admitted to the University of Calabar Teaching Hospital, Calabar with PAT from February 2005 to January 2008 were prospectively studied.
  
  
  RESULTS
  Seventy-nine patients presented with abdominal trauma, among which 39 (49%) were PAT. There were 37 males and two females, whose ages ranged from 5 to 54 years (mean 27.8 years). Stab wound (18; 46.1%) was the commonest injury, while gunshot wound (15; 38.5%) ranked second. Others were road traffic accident (two patients), fall, cow horn injury, shrapnel, and criminal abortion (a patient each). The commonest injury was evisceration of the omentum and small intestine, which occurred in 13 (36%) patients. Five (14%) patients suffered small intestinal perforations, while three (8%) had liver, splenic and colonic injuries, respectively. Others were rectal injury (four patients), mesenteric injury and perforated stomach (two patients each), and a patient with diaphragmatic injury. The outcome was fatal in two (5%) patients.
  
  
  CONCLUSIONS
  Penetrating abdominal trauma is on the increase in Calabar. The pattern of injury revealed areas which, when effectively contained, will lead to an improvement in the safety of our environment.
authors.affiliation: Department of Surgery, University of Calabar Teaching Hospital, 1/3 Effanga Close, 1891, Cross River State, 540001, Calabar, CRS, Nigeria. mauefas@yahoo.com.
authors.forename: Maurice E
authors.initials: ME
authors.lastname: Asuquo
authors.forename: Okon O
authors.initials: OO
authors.lastname: Bassey
authors.forename: Anietimfon U
authors.initials: AU
authors.lastname: Etiuma
authors.forename: Gabriel
authors.initials: G
authors.lastname: Ugare
authors.affiliation: Department of Surgery, University of Calabar Teaching Hospital, Calabar, CRS, Nigeria.
authors.forename: Ogbu
authors.initials: O
authors.lastname: Ngim
keywords: Gunshot injuries; Penetrating abdominal trauma; Stab injuries
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