Friday 26 May 2023

Blunt Abdominal Trauma with Splenic Injury in Uganda: A Case Study | Chapter 3 | New Advances in Medicine and Medical Science Vol. 2

 The aim concerning this study was to report on a case of splenic damage that presented in a Regional Referral hospital in Uganda and examine the management concerning this condition. The spleen is the most usually injured viscus in blunt intestinal trauma. Abdominal pain accompanying left upper one of four equal parts tenderness or signs of peritonitis in a patient accompanying history of trauma is ultimate common performance of this condition. A 43-old age-old gentleman was granted to Masaka Regional Referral Hospital after bearing been involved in a drive traffic accident (RTA). On test his Glasgow stupor score was 15, the airway was intact, welcome chest was clear and welcome pulse rate was 120 bpm-1 and blood pressure (BP) 90/60 mmHg. He objected of generalised abdominal pain and sickness in stomach.An examination of the midriff revealed widespread intestinal tenderness, particularly in the upper midriff. He had a 9g/dl haemoglobin level, and the A&E Department's FAST ultrasound scan revealed fluid in the splenorenal angle.   The extreme incidence of splenic harms in this age group can be due to extreme-risk activities at an economically alive age. A splenectomy was carried out and there were no different associated harms of the liver or bowel and other intra-intestinal organs were undamaged. He had a smooth postoperative improvement and remained hemodynamically stable subsequently surgery. On the one of four equal parts post-surgery day, he was neglect from the surgical ward. After discharge from the emergency room poor effect visits is also a concern. Health education programmes in our background is therefore essential to prevent post-splenectomy complications specifically post-splenectomy sepsis.


Author(s) Details:

Richard Wismayer,
Department of Surgery, Faculty of Health Sciences, Habib Medical School, IUIU University, Kampala, Uganda and Department of Surgery, Masaka Regional Referral Hospital, Masaka, Uganda.

Please see the link here: https://stm.bookpi.org/NAMMS-V2/article/view/10621

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