A Prospective Study of Penetrating Abdominal Trauma at the University of Calabar Teaching Hospital, Calabar, Southern Nigeria

Asuquo, Maurice E.; Bassey, Okon O.; Etiuma, Anietimfon U.; Ugare, Gabriel; Ngim, Ogbu
June 2009
European Journal of Trauma & Emergency Surgery;Jun2009, Vol. 35 Issue 3, p277
Academic Journal
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. Patients admitted to the University of Calabar Teaching Hospital, Calabar with PAT from February 2005 to January 2008 were prospectively studied. 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. 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.


Related Articles

  • Penetrating wounds. Ellis, Harold // Journal of the Royal Society of Medicine;Jul1982, Vol. 75 Issue 7, p494 

    The article comments on issues concerning the increasing incident of penetrating injuries in Great Britain. It is noted that man-inflicted penetrating wounds such as stab and gunshot are the most prevalent. Such incident is attributed to the changing society, with a more violent society due to...

  • A Case of Snooker Cue Injury. Singh, Anjani Kumar; Kumar, Harish // Internet Journal of Surgery;2004, Vol. 5 Issue 2, p12 

    Penetrating trauma to male external genitalia is rare and furthermore has not been reported in children. We report a case of this rather unusual injury. No mention has been found of this type of injury in the literature

  • Analysis of 203 Patients with Penetrating Neck Injuries. Thoma, Max; Navsaria, Pradeep H.; Edu, Sorin; Nicol, Andrew J. // World Journal of Surgery;Dec2008, Vol. 32 Issue 12, p2716 

    Selective nonoperative management (SNOM) of penetrating neck injuries (PNI) has steadily gained favor, but indications for surgery and adjunctive diagnostic studies remain debated. The purpose of the present study is to validate a protocol of SNOM of PNI based on physical examination, which...

  • Penetrating Cardiac Injuries: Recent Experience in South Africa. Degiannis, Elias; Loogna, Peter; Doll, Dietrich; Bonanno, Fabrizio; Bowley, Douglas M.; Smith, Martin D. // World Journal of Surgery;Jul2006, Vol. 30 Issue 7, p1258 

    Background: Penetrating cardiac injury is a dramatic and lethal form of trauma. The majority of patients will die before reaching medical care, but for those who arrive at hospital alive, the diagnostic acumen and rapid surgical intervention of physicians and surgeons can lead to successful...

  • Penetrating spinal injury with wooden fragments causing cauda equina syndrome: case report and literature review. Pal, Debasish; Timothy, Jake; Marks, Paul // European Spine Journal;Oct2006 Supplement 5, Vol. 15, p574 

    Study design: Case report Objective: To report an unusual case of cauda equina syndrome following penetrating injury to the lumbar spine by wooden fragments and to stress the importance of early magnetic resonance imaging (MRI) in similar cases. Summary of background data: A 22-year-old girl...

  • Anaesthesia considerations in penetrating trauma. Sheffy, N.; Chemsian, R. V.; Grabinsky, A. // BJA: The British Journal of Anaesthesia;Aug2014, Vol. 113 Issue 2, p276 

    Trauma and penetrating injury, mostly in the form of assault and self-inflicted gunshot and stab wounds, is a major contributor to mortality and morbidity in the modern world, specifically among younger populations. While the prevalence of this form of injury is drastically lower in the UK and...

  • The principles of non-operative management of penetrating abdominal injury. Wohlgemut, Jared M; Jansen, Jan O // Trauma;Oct2013, Vol. 15 Issue 4, p289 

    The selective non-operative management of penetrating abdominal injury is gaining increasing acceptance. Recognition of the morbidity, mortality, and cost associated with non-therapeutic exploration has provided the impetus for selective management. This review describes the principles of, and...

  • GSW.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p990 

    An encyclopedia entry for the acronym "GSW," which refers to gunshot wound, is presented.

  • Treatment of hemodynamically stable penetrating mediastinal gunshot wounds in chile: Comparison of 3 cases and literature review. Zepeda, Carlos Álvarez; Castro, Pablo Pérez; Castillo, Felipe; Sanhueza, Belen; Ruiz, Ivan // Journal of Emergencies, Trauma & Shock;Jan-Mar2015, Vol. 8 Issue 1, p70 

    A letter to the editor in response to the article "Treatment of hemodynamically stable penetrating mediastinal gunshot wounds in chile: Comparison of 3 cases and literature review," that was published in a previous issue of the journal is presented.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics