Al- Anbar Medical Journal

Abstract

An analysis is reported of 53 cases of penetrating abdominal injuries operated on in AL-Ramadi General hospital , Al- Anbar governorate in the period of May 1995 to July 1996. The commonest wounds were due to bullet injury (64%), stab injuries (28%) and other causes were just 8% Male: female ratio was 15:1. The patients age was 3-70 years with a peak age incidence at 16- 30 years . The distribution of injured organ was as : small bowel (36%) , liver (30%), stomach (28%), large bowel (24%), spleen(12%), diaphragm (12%), gall bladder (2%), and mesentery (2%) . No pancreatic and vascular injuries were found . The analysis was reported single abdominal organ injury (52%), two organs (40%) while multiple organ injuries only (8%) .The ratio of urban to rural patients was 3.5:1 . The mortality rate was 4% occurred in multiple organ injuries and caused by bullet injury.