Spectrum of abdominal organ injury in a primary blast type

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...
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Autor*in:	Wani, Imtiaz [verfasserIn] Parray, Fazal Q Sheikh, Tariq Wani, Rauf A Amin, Abid Gul, Imran Nazir, Mir

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Blast Wave Organ Injury Blast Injury Retroperitoneal Hematoma Splenic Trauma

Anmerkung:	© Wani et al; licensee BioMed Central Ltd. 2009

Übergeordnetes Werk:	Enthalten in: World journal of emergency surgery - London : BioMed Central, 2006, 4(2009), 1 vom: 21. Dez.
Übergeordnetes Werk:	volume:4 ; year:2009 ; number:1 ; day:21 ; month:12

Links:	Volltext

DOI / URN:	10.1186/1749-7922-4-46

Katalog-ID:	SPR029888735

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520			\|a 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.
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allfields	10.1186/1749-7922-4-46 doi (DE-627)SPR029888735 (SPR)1749-7922-4-46-e DE-627 ger DE-627 rakwb eng Wani, Imtiaz verfasserin aut Spectrum of abdominal organ injury in a primary blast type 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wani et al; licensee BioMed Central Ltd. 2009 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. Blast Wave (dpeaa)DE-He213 Organ Injury (dpeaa)DE-He213 Blast Injury (dpeaa)DE-He213 Retroperitoneal Hematoma (dpeaa)DE-He213 Splenic Trauma (dpeaa)DE-He213 Parray, Fazal Q aut Sheikh, Tariq aut Wani, Rauf A aut Amin, Abid aut Gul, Imran aut Nazir, Mir aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 4(2009), 1 vom: 21. Dez. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:4 year:2009 number:1 day:21 month:12 https://dx.doi.org/10.1186/1749-7922-4-46 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1 21 12
spelling	10.1186/1749-7922-4-46 doi (DE-627)SPR029888735 (SPR)1749-7922-4-46-e DE-627 ger DE-627 rakwb eng Wani, Imtiaz verfasserin aut Spectrum of abdominal organ injury in a primary blast type 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wani et al; licensee BioMed Central Ltd. 2009 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. Blast Wave (dpeaa)DE-He213 Organ Injury (dpeaa)DE-He213 Blast Injury (dpeaa)DE-He213 Retroperitoneal Hematoma (dpeaa)DE-He213 Splenic Trauma (dpeaa)DE-He213 Parray, Fazal Q aut Sheikh, Tariq aut Wani, Rauf A aut Amin, Abid aut Gul, Imran aut Nazir, Mir aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 4(2009), 1 vom: 21. Dez. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:4 year:2009 number:1 day:21 month:12 https://dx.doi.org/10.1186/1749-7922-4-46 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1 21 12
allfields_unstemmed	10.1186/1749-7922-4-46 doi (DE-627)SPR029888735 (SPR)1749-7922-4-46-e DE-627 ger DE-627 rakwb eng Wani, Imtiaz verfasserin aut Spectrum of abdominal organ injury in a primary blast type 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wani et al; licensee BioMed Central Ltd. 2009 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. Blast Wave (dpeaa)DE-He213 Organ Injury (dpeaa)DE-He213 Blast Injury (dpeaa)DE-He213 Retroperitoneal Hematoma (dpeaa)DE-He213 Splenic Trauma (dpeaa)DE-He213 Parray, Fazal Q aut Sheikh, Tariq aut Wani, Rauf A aut Amin, Abid aut Gul, Imran aut Nazir, Mir aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 4(2009), 1 vom: 21. Dez. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:4 year:2009 number:1 day:21 month:12 https://dx.doi.org/10.1186/1749-7922-4-46 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1 21 12
allfieldsGer	10.1186/1749-7922-4-46 doi (DE-627)SPR029888735 (SPR)1749-7922-4-46-e DE-627 ger DE-627 rakwb eng Wani, Imtiaz verfasserin aut Spectrum of abdominal organ injury in a primary blast type 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wani et al; licensee BioMed Central Ltd. 2009 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. Blast Wave (dpeaa)DE-He213 Organ Injury (dpeaa)DE-He213 Blast Injury (dpeaa)DE-He213 Retroperitoneal Hematoma (dpeaa)DE-He213 Splenic Trauma (dpeaa)DE-He213 Parray, Fazal Q aut Sheikh, Tariq aut Wani, Rauf A aut Amin, Abid aut Gul, Imran aut Nazir, Mir aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 4(2009), 1 vom: 21. Dez. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:4 year:2009 number:1 day:21 month:12 https://dx.doi.org/10.1186/1749-7922-4-46 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1 21 12
allfieldsSound	10.1186/1749-7922-4-46 doi (DE-627)SPR029888735 (SPR)1749-7922-4-46-e DE-627 ger DE-627 rakwb eng Wani, Imtiaz verfasserin aut Spectrum of abdominal organ injury in a primary blast type 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Wani et al; licensee BioMed Central Ltd. 2009 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. Blast Wave (dpeaa)DE-He213 Organ Injury (dpeaa)DE-He213 Blast Injury (dpeaa)DE-He213 Retroperitoneal Hematoma (dpeaa)DE-He213 Splenic Trauma (dpeaa)DE-He213 Parray, Fazal Q aut Sheikh, Tariq aut Wani, Rauf A aut Amin, Abid aut Gul, Imran aut Nazir, Mir aut Enthalten in World journal of emergency surgery London : BioMed Central, 2006 4(2009), 1 vom: 21. Dez. (DE-627)511639236 (DE-600)2233734-9 1749-7922 nnns volume:4 year:2009 number:1 day:21 month:12 https://dx.doi.org/10.1186/1749-7922-4-46 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1 21 12
language	English
source	Enthalten in World journal of emergency surgery 4(2009), 1 vom: 21. Dez. volume:4 year:2009 number:1 day:21 month:12
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topic_facet	Blast Wave Organ Injury Blast Injury Retroperitoneal Hematoma Splenic Trauma
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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. 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author	Wani, Imtiaz
spellingShingle	Wani, Imtiaz misc Blast Wave misc Organ Injury misc Blast Injury misc Retroperitoneal Hematoma misc Splenic Trauma Spectrum of abdominal organ injury in a primary blast type
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topic_title	Spectrum of abdominal organ injury in a primary blast type Blast Wave (dpeaa)DE-He213 Organ Injury (dpeaa)DE-He213 Blast Injury (dpeaa)DE-He213 Retroperitoneal Hematoma (dpeaa)DE-He213 Splenic Trauma (dpeaa)DE-He213
topic	misc Blast Wave misc Organ Injury misc Blast Injury misc Retroperitoneal Hematoma misc Splenic Trauma
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title	Spectrum of abdominal organ injury in a primary blast type
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author_browse	Wani, Imtiaz Parray, Fazal Q Sheikh, Tariq Wani, Rauf A Amin, Abid Gul, Imran Nazir, Mir
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title_sort	spectrum of abdominal organ injury in a primary blast type
title_auth	Spectrum of abdominal organ injury in a primary blast type
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. © Wani et al; licensee BioMed Central Ltd. 2009
abstractGer	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. © Wani et al; licensee BioMed Central Ltd. 2009
abstract_unstemmed	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. © Wani et al; licensee BioMed Central Ltd. 2009
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title_short	Spectrum of abdominal organ injury in a primary blast type
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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. 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Spectrum of abdominal organ injury in a primary blast type

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