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24 Jun 2021 (Vol 44 , Iss 03 )

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30 Jun 2021 (Vol 44 , Iss 03 )

Journal ID : TMJ-26-03-2021-10530
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Title : Liver Trauma Among Obese: A local retrospective Study

Abstract :

This retrospective observational study was conducted at a tertiary care hospital in Saudi Arabia in 3 years’ period from January 2017 to December 2020. The records of liver trauma patients who had a body mass index (BMI) >35 and having isolated blunt hepatic injuries were studied. Collected data included; their clinical condition upon arrival to the emergency department as well as the conducted investigations. Forty-six patients had liver injury. They were 38 males and 8 females with a ratio of male 6 to 1. Their mean and median age were 30.02 (range = 16 to 67) and 26 years, respectively. Their BMI ranged from 38 to 63. Eleven (23.9%) patients had comorbidities like hypertension, diabetes mellitus, asthma plus others. The most common mechanism of injury was road traffic accident in forty-two (91.3%) patients. Four (8.7%) patients suffered of direct injuries due to insults and quarrels. Twenty-eight (60.8%) had associated extra-abdominal injuries, while 18(39.1%) had no extra-abdominal injuries. Thirty-five (76.1%) had isolated liver injuries, while 11(23.8%) had associated injuries. They were Spleen trauma in 6 (13.1%), kidney in 2(4.3%) and retroperitoneal hematoma in 3(6.5%). Those with liver trauma were; twelve (26.1%) with grade I, fifteen (32.6%) had grade II, seven (15.2%) had grade III, ten (21.7%) had grade IV, two (4.3%) had grade V and none had grade VI liver injuries. Seventeen (37%) patients were managed by surgical intervention, while 29(63%) underwent a non-operative conservative management.

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