To study the relationship between mode of injury and clinical presentation in blunt abdominal trauma at MGM medical college & M.Y. hospital, Indore

Background: This study carried out in the Department of Surgery, MGM Medical College & M.Y. Hospital Indore both retrospectively and prospectively in patients with Blunt abdominal trauma. Result: 35 pateints out of 250 patients i.e.14% of patients with BAT came to hospital with feature of shock was considered as B.P. below 90mm of Hg. Maximun numbers of patients (88) were presented with P/A Guarding, tenderness localised at site of BAT i.e 35.2%51 patients out of 250 patients i.e 20.4% presented with head injury and with neurological sign and symptoms like unconciouness, unequal pupil, vomiting etc. There only 50 patients i.e 20% which are presented with respiratory distress as associated complaints. 76 patients i.e 30.4% of BAT presented as pain in abdomen and localised tenderness on clinical examination.Majority of the BAT were accidental in nature comprising 154 cases i.e. 61.6%. Second common injury are fall from height comprises 45 cases i.e. 18% and least common are assault by hard and blunt object and falling hard and blunt object over body comprises 18-18 cases i.e. 7.2 respectively%. In retrospective group accidental cases were 49 i.e. 61.25% in prospective groups accidental cases were 105 i.e. 61.765%. In retrospective group falling hard and blunt object over body comprises 13, cases i.e. 7.6%. In prospective groups assault by hard and blunt object comprises 5 cases i.e. 6.25%.Conclusion: Incidence of blunt abdominal trauma can be reduced by improving the social morale of people especially the younger generation by providing Good education, Preventing Alcohol Abuse, Proper law enforcement and some form of penalty regarding proper vehicle driving. 35 pateints out of 250 patients i.e.14% of patients with BAT came to hospital with feature of shock was considered as B.P. below 90mm of Hg. The BAT were accidental in nature comprising 154 cases i.e. 61.6%. Second common injuries are fall from height comprises 45 cases i.e. 18%.