@article{ref1,
title="Spectrum of abdominal organ injury in a primary blast type",
journal="World journal of emergency surgery",
year="2009",
author="Wani, Imtiaz and Parray, Fazal Q. and Sheikh, Tariq and Wani, Rauf A. and Amin, Abid and Gul, Imran and Nazir, Mir",
volume="4",
number="1",
pages="46-46",
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.<p /> <p>Language: en</p>",
language="en",
issn="1749-7922",
doi="10.1186/1749-7922-4-46",
url="http://dx.doi.org/10.1186/1749-7922-4-46"
}