Abstract
The aim of the study was to review traumatic splenic injury following blunt abdominal trauma (BAT), during the period from January 2009 to January 2015 at SQUH. The data for this study was retrospectively collected. It included 768 patients admitted to SQUH general surgery department following BAT. 43 patients with splenic injury were identified (34 males, 9 females). The mean age of patients with splenic injury was 36.0 years (34.4 years for males, 42.1 years for females). The most common mechanism of injury was motor vehicle collision (90.7%). Grade I, II are the most common grades of splenic injury. Non-Omani patients accounted for (51.2%) and most of them were pedestrians at the time of trauma. Ribs fracture is the most common injury associated with splenic injury. 36 (83.7%) patients were managed conservatively and 7 (16.3%) patients were splenectomized. Angioembolization was done for 11 (30.6%) patients. Despite the small population of Oman, high incidence of motor vehicle collision (MVC) increases the incidence of splenic injury among young age group.
Highlights
Oman is considered one of the countries with good death registration data
Oman was ranked 4th in occurrence of motor vehicle collision (MVC) in Arabian Gulf Co-operation Council (GCC) and 57th worldwide in 2009 according to World Health Organi
The study sample included 768 patients admitted to Sultan Qaboos University Hospital (SQUH) general surgery department following blunt abdominal trauma (BAT) from January 2009 to January 2015
Summary
Oman is considered one of the countries with good death registration data. The reported number of road traffic deaths is around 800 per year and the estimated road traffic death rate per 100,000 population is 30.4 [1]. Oman was ranked 4th in occurrence of motor vehicle collision (MVC) in Arabian Gulf Co-operation Council (GCC) and 57th worldwide in 2009 according to World Health Organi-. The most common modalities of blunt trauma are motor vehicle collisions, falls from height, assaults, and sporting injuries. The spleen is the second most commonly injured organ following blunt abdominal trauma (BAT) after liver. Up to 45% of patients with BAT will have a splenic injury. It has been shown that the most common mechanism of splenic injury is MVC. Splenic injury can affect any age group [3] [4]
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