Pattern and Outcome of Abdominal Injury Management in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Abstract

Background: Abdominal injury is one of the major causes of trauma admissions. Evidence based information about causes of trauma related deaths is relevant for health policy making about prevention and control. The aim of the study was to identify the mechanism of trauma, commonly injured organs, patterns and outcome of abdominal trauma in Yekatit 12 Hospital Medical College. Method: ALongitudinal study design was conducted from April 2022 to May 2023 G.C Results: During the study, 42 patients were observed, with males comprising 83.3%. Most patients fell within the 20-29 age groups. Penetrating trauma was the most common mechanism (54.8%), with stabs (38.1%), RTAs (31.0%), and gunshots (14.3%) leading the causes. Negative laparotomy rate was 4.8%. Laparotomy was performed in 88.1% of cases, with the small bowel (33.3%) being the most commonly injured organ. Postoperative complication rate was 21.6%, mainly surgical site infections (10.8%). Complication rate was higher in penetrating injuries (62.5%) compared to blunt trauma (37.5%). Mortality rate for abdominal injury was 4.78%. Conclusion: Abdominal trauma predominantly impacts younger males. Stab wounds and road traffic accidents (RTAs) are the primary causes, emphasizing the importance of public awareness for preventing RTAs and similar injuries.