A Study of Correlation of Clinical, Roentgenographic and CT scan Findings in Cases of Abdominal trauma in Road Traffic Accidents

Trauma remains a major social and health problem. Abdominal injuries have existed as long as the mankind. It can be concluded from this study that blunt trauma abdomen due to road traffic accidents was found to have peak incidence in young population with male preponderance which shows that such accidents are common in persons with more outdoor activities. Urban population was more involved as compared to rural population. Common modes of injury were fall either from two wheeler or four wheeler, striking of pedestrian by two wheeler and two & four wheeler collision. Pain abdomen and distension were most common presenting symptoms while haematuria and retention of urine were common presenting symptoms when genitourinary tract was injured. Abdominal tenderness was almost exclusively present. Liver was the most common organ injured and it was followed by spleen. Most common associated injuries were thoracic and orthopedic injuries. The diagnosis was mainly based on thorough clinical examination, x-ray findings and CECT abdomen & pelvis and their co-relation. The mortality was found to be significantly higher when more than one factor was involved i.e. either other associated injuries were present or shock was present at the time of admission or delayed admission or multiple viscera were injured. The overall prognosis of these patients depends on the early and accurate diagnosis and prompt management.