الفهرس | Only 14 pages are availabe for public view |
Abstract The present study aimed at evaluation of abdominal injuries in Cairo and Giza, and their relations to different factors. Data of cases with abdominal injuries, presented to departments and morgue of Cairo and Giza in Medicolegal Administration in 2- years period was collected and analyzed. The total number of cases was 912 cases. Regarding the age of victims, it was found that the highest percentage of cases was found in the age group B (from above 18 to 40 years of age). Moreover, the age group B had the highest percentage of accidental, homicidal and suicidal circumstances. It was found that the majority of cases in this study were males (76.86%). Males outnumbered females in each age group except age group A where females were more than twice the percentage of males. Regarding the motive of injury in this study, it was found that the highest percentage of cases (36.84%) was injured due to arguments. The second highest percentage of injuries was found to be due to No motives (accidental; 12.5%). It was also found that males outnumbered females regarding all motives except for the child abuse (30.30% vs 69.69%) and family troubles (34.69% vs 65.31%) where female percentage was higher. As regards the circumstances of injury in this study, it was found that the majority of cases were homicidal in nature (77.08%). It was also found that the percentage of suicides in females were twice that in males (15.17% vs 7.70%). Regarding the type of trauma in the current study, it was found that the majority of cases (30.20%) suffered from blunt traumas followed by stab wounds (25.06%) and cut wounds (16.65%). Regarding the weapons used in the present study, it was found that the highest percentage of weapons used was sharp objects (32.58%). Also, it was found that the second highest percentage of weapons was hands and feet (15.29%) and blunt objects (12.74%). It was also found that the highest percentage of most of the weapons used was found in the age group B; the exception was corrosives and hot fluids and objects where the highest percentage of use was found in the age group A (40% and 58.62%, respectively). As regards the site of trauma, it was found that the most injured organ in the abdomen was the liver (25.73%) followed by the intestine (17.11%). The least organs to be injured are the stomach (8.63%) and the kidneys (7.89%). Regarding the prognosis in this study, it was found that the majority of cases (52.74%) ended in death. It was also found that the majority of cases in age group A (89 out of 130 cases) and group D (41 out of 54 cases) ended in death. It was also found that the percentage of deaths and complete recovery were higher in females than males (58.76% vs 50.93% and 36.97% vs 32.95%). As regards the relation between prognosis and motive, it was found that the percentage of cases ended in death was higher in child abuse (75.76%). The percentage of cases ending in death was also higher in cases of immoral behavior (74.19%) and revenge (65%). In cases of psychological instability all cases (100%) ended in death. As regards the manner of trauma and death in the current study, it was found that in the majority of cases (55.15%) the abdominal injuries didn’t cause death. Regarding the cause of death in the studied cases, it was found that there were 481 cases that ended in death, the majority of which (57.17%) died from hemorrhage. It was also found that the percentage of different causes of death was higher in males than females, except for the histaminic shock. Positive findings in postmortem cases included different forms of infections in the cases that didn’t die immediately after the injury but survived for sometime ranging from one day up to 5 months. These included bed sores, meningitis, pneumonia, peritonitis and generalized sepsis. It was noted that the commonest infection was pneumonia followed by peritonitis. |