Trauma care including abdominal trauma is a big challenge. It is associated
with high morbidity and mortality and continues to be a public health problem
worldwide. The main aims of our study were to assess the patterns and
outcomes of our patients, and to describe our experience in management of
abdominal trauma. This descriptive retrospective study was conducted in
general surgery department at National Centre Hospital of Nouakchott in
Mauritania. We recruited patients presented at our department with abdominal
trauma (2012-2016). Out of 100 cases, 92% were men. Mean age: 22.78
years (5 - 70 years). Eighty percent of patients suffered of penetrating abdominal
trauma. Stab injuries were the most frequent mechanism (60%). The
commonest organ injury was small intestine (16%). Mortality has been
strongly related to road traffic accidents. Cares of severe abdominal traumas
are not common in our hospital, due to lack of required overall data. Emergency
health system is needed to better care of trauma patients in Mauritania.
Arumugam, S., Al-Hassani, A., El-Menyar, A., Abdelrahman, H., Parchani, A., Peralta, R., Zarour, A. and Al-Thani H. (2015) Frequency, Causes and Pattern of Abdominal Trauma: A 4-Year Descriptive Analysis. Journal of Emergencies, Trauma and Shock, 8, 193-198. https://doi.org/10.4103/0974-2700.166590
Prall, J.A., Nichols, J.S., Brennan, R., Moore, E.E., Prall, J.A., Nichols, J.S., Brennan, R. and Moore, E.E. (1994) Early Definitive Abdominal Evaluation in the Triage of Unconscious Normotensive Blunt Trauma Patients. Journal of Trauma, 37, 792-797.
Leo Chalya, P., Mabula, J., Leo Chalya, P., Mabula, J., Chalya, P.L. and Mabula, J.B. (2013) Abdominal Trauma Experience over a Two-Year Period at a Tertiary Hospital in Northwestern Tanzania: A Prospective Review of 396 Cases. Tanzania Journal of Health Research, 15, 1-13.
Costa, G., Tierno, S.M., Tomassini, F., Venturini, L., Frezza, B., Cancrini, G. and Stella, F. (2010) The Epidemiology and Clinical Evaluation of Abdominal Trauma. An Analysis of a Multidisciplinary Trauma Registry. Annali Italiani di Chirurgia, 81, 95-102.
Asuquo, M., Umoh, M., Nwagbara, V., et al. (2012) Penetrating Abdominal Trauma: Experience in a Teaching Hospital, Calabar, Southern Nigeria. International Journal of Clinical Medicine, 3, 426-430.
Smith, J., Caldwell, E., D’Amours, S., Jalaludin, B., Sugrue, M., Smith, J., Caldwell, E., D’Amours, S., Jalaludin, B. and Sugrue, M. (2005) Abdominal Trauma: A Disease in Evolution. ANZ Journal of Surgery, 75, 790-794.
Abdelrahman, H., Ajaj, A., Atique, S., El-Menyar, A. and Al-Thani, H. (2013) Conservative Management of Major Liver Necrosis after Angioembolization in a Patient with Blunt Trauma. Case Reports in Surgery, 2013, Article ID: 954050.
Clancy, T.V., Gary Maxwell, J., Covington, D.L., Brinker, C.C. and Blackman, D. (2001) A Statewide Analysis of Level I and II Trauma Centers for Patients with Major Injuries. The Journal of Trauma, 51, 346-351.
Matthes, G., Stengel, D., Seifert, J., Rademacher, G., Mutze, S. and Ekkernkamp, A. (2003) Blunt Liver Injuries in Polytrauma: Results from a Cohort Study with the Regular Use of Whole-Body Helical Computed Tomography. World Journal of Surgery, 27, 1124-1130. https://doi.org/10.1007/s00268-003-6981-0
Ayoade, B.A., Salami, B.A., Tade, A.O., Musa, A.A. and Olawoye, O.A. (2006) Abdominal Injuries in Olabisi Onabanjo University Teaching Hospital Sagamu, Nigeria. Nigerian Journal of Orthopaedics and Trauma, 5, 45-49.
Nyongole, O.V., Akoko, L.O. and Njile, I.E. (2013) The Pattern of Abdominal Trauma as Seen at Muhimbili National Hospital Dar es Salaam, Tanzania. East and Central African Journal of Surgery, 18, 40-47.
Osborn, T.M., Tracy, J.K., Dunne, J.R., Pasquale, M. and Napolitano, L.M. (2004) Epidemiology of Sepsis in Patients with Traumatic Injury. Critical Care Medicine, 32, 2234-2240. https://doi.org/10.1097/01.CCM.0000145586.23276.0F