Retroperitoneal organ injuries following blunt trauma abdomen

Aim: to assess the frequency of mode and grade of retroperitoneal organs (kidney,duodenum and pancreas) injuries following blunt abdominal trauma. study design: cross sectional study place & duration of study: department of surgery,b.v. hospital from april 2012 to october 2012. methods: a total of 150 consecutive cases sustaining blunt trauma abdomen. patients of both gender and age 12 to 70 years presenting with history of blunt trauma abdomen and undergoing exploratory laparotomy were included in the study. statistical analysis was done with spss version 16. results: a total of 150 patients who suffered from blunt trauma abdomen were enrolled. the mean age of patients in the study was 34.11±11.91. males were 125(83.3%),the females were 25(16.7%). a total of patients 90(60%) suffered from road accidents,38(25.3%) had fall from height and 22(14.7%) had physical assault. pancreas was injured in 40(26.7%) patients,duodenum in 39(26%) patients,kidney in 46(30.7%) patients and 25(16.7%) had pancreatoduodenal injuries. grade 1 injury was present in 38(25.3%) patients. grade 2 injury was in 51(34%). grade 3 injury in 37(24.7%). grade 4 injury in 18(12%) and grade 5 injury in 6(4%) patients. conclusion: retroperitoneal organ injuries should be suspected in blunt abdominal trauma patients presenting with a history of roadside accidents,falls from heights and interpersonal physical assault.