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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 9 No. 1-2 (2018)

Abdominal trauma in children: Experience from north-west region of Bangladesh

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2018
CONTENTSVolume 09Number 1 & 2January - July 2018
Editorial
Surgical care in birth defects
Tahmina Banu
01
Review Articles
Operative complications of urogenital tract during repair of anorectal malformation (ARM) in boys: A review
Md Samiul Hasan, Ashrarur Rahman
44
Original Articles
Role of USG and diuretic renogram in evaluation of outcome in children after Anderson-Hynes dismembered pyeloplasty for unilateral PUJ obstruction
Ipsita Biswas, Abhi Kumar Chakraborty, Ayub Ali, Gajendra Nath Mahato
03
Evaluation of testis sparing surgery in paediatric testicular tumor
Partha Sarathy Majumder, Anuradha Karmaker, Syed Abdul Adil, Ashfaque Nabi, Jaglul Gaffer Khan, Kaniz Hasina, Abdul Hanif Tablu
08
Outcome of posterior versus anterior sagittal ano-rectoplasty in patients of anorectal malformation (ARM) with vestibular fistula
Ayesha Sadia, Md Khurshid Alam Sarwar, Tanzil Farhad, Tanvir Kabir Chowdhury
13
Laparoscopic assisted transanal pull through and Duhamel pull through for the treatment of short segment Hirschsprung’s disease: A comparative study of outcome
Shah Md Ahsan Shahid, Md Nowshad Ali, Khondokar Seheli Nasrin, Shantona Rani Paul, Md Zamil Hossain
21
Abdominal trauma in children: Experience from north-west region of Bangladesh
Md Zamil Hossain, Md Nowshad Ali, Amar Kumar Saha, S M Ahsan Shahid, Shantona Rani Paul
28
Inguinal herniotomy in children with and without peri-operative chemoprophylaxis
Md Mizanur Rahman, Shahnoor Islam, Md Moinul Huque
33
Outcome of circumcision in children with or without antibiotics in a tertiary Hospital
Supratim Howlader, Khandker Md Raihan Hossain, Saiful Ahmed, Afruzul Alam, Md Asif Iqbal, Mahmudul Hasan, Ainun Ahmed, Sahadat Hossain
39
Case Reports
Benign Phyllodes tumor in an 11-year-old premenarchal girl
Shahnoor Islam, AKM Amirul Morshed, A H M Abdul Hai, Tania Akter
50
Razor blade ingestion in an infant: A case report
Nazmul Islam, Refoyez Mahmud, Md Samiul Hasan, Ashrarur Rahman
53
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Md Zamil HossainDepartment of Paediatric Surgery, Rajshahi Medical College Hospital, Rajshahi, Bangladesh
  • Md Nowshad AliProfessor, Department of Paediatric Surgery, Rajshahi Medical College, Rajshahi, Bangladesh
  • Amar Kumar SahaProfessor, Department of Paediatric Surgery, Rajshahi Medical College, Rajshahi, Bangladesh
  • S M Ahsan ShahidAssociate Professor, Department of Paediatric Surgery, Rajshahi Medical College, Rajshahi, Bangladesh
  • Shantona Rani PaulAssistant Professor, Department of Paediatric Surgery, Rajshahi Medical College, Rajshahi, Bangladesh

Keywords

Blunt trauma Abdomen Children RTA Laparotomy

Abstract

Background: Abdominal trauma is one of the most common causes of children’s death and fatal injury. Due to advances in technology, available facilities, and improved trauma transport, the management of trauma victims becomes earlier and easier in developed countries. In underdeveloped and developing countries, it is difficult as early recognition, timely reaching to health facilities, and management initiation become delayed. Objectives: This study was aimed at analyzing the mechanisms and causes, organ involvement, management, and outcome of childhood abdominal trauma in a tertiary centre in Bangladesh. Methods: This was a retrospective review of children from 0 – 12 years admitted to the department of Paediatric Surgery, Rajshahi Medical College Hospital, Bangladesh, with blunt and penetrating abdominal injuries from January 2020 to December 2021. Children with blunt abdominal trauma with either solid or hollow viscus injury and penetrating trauma with peritoneal breach and/or organ injury were included. Injuries only to the abdominal wall without organ injury were excluded. Results: 154 patients met the inclusion criteria with a 2.2:1 male-to-female ratio. The majority were 6 – 12 years of age (47.4%), most of them were presented with blunt trauma (142, 92.2%), and the leading cause of trauma was a road traffic accident (63.6%), which was followed by a fall from height (16.9%) and fall on a sharp object (6.5%). Out of 98 patients with road traffic accidents, only 16 (16.3%) were traumatized from traffic-traffic collisions, and the rest (83.7%) were injured during the crossing or running on the road. Commonly injured organ was the liver (52.6%), spleen (14.2%), and small intestine (9.7%). Most (70.1%) were treated conservatively, and 3 out of 4 died within 24 hours of admission. Conclusion: Road traffic accident was the most common cause of abdominal trauma, and the liver was the most commonly injured organ. Most of the victims were pedestrians. The cause is a lack of awareness and attendance to children and unsafe vehicles on the road.

Journal of Paediatric Surgeons of Bangladesh (2018) Vol. 9 (1 & 2): 28–32

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