,
Atiqul Maula Omar Ibrahim Shamsi,
Mohammad Sharif Hossain,
Md. Ziaur Rahman,
Syeda Tashfia Jahan,
Md. Insanul Alam,
Mahmudul Hasan Chowdhury,
Ahsan Ahmed
Background: Blunt abdominal trauma (BAT) is a common cause of intra-abdominal injuries and poses significant diagnostic challenges. Laboratory and imaging investigations are essential in guiding the management of these patients. Objective: This study aimed to evaluate the diagnostic significance of laboratory tests in correlation with findings from exploratory abdominal surgery following trauma. Methods: This descriptive cross-sectional study was conducted in the Department of Surgery, Rangpur Medical College and Hospital, Rangpur, Bangladesh, from July 2020 to December 2020. A total of 50 patients diagnosed with blunt abdominal trauma and requiring exploratory laparotomy were included in the study. Results: The majority of patients were aged 31–40 years (42%) with a male predominance (70%). Abdominal pain was the most common presenting symptom (100%), followed by abdominal distension (76%) and vomiting (24%). Clinical examination revealed tenderness in 90%, guarding/rigidity in 78%, and rebound tenderness and absent bowel sounds in 70% of patients. Laboratory abnormalities included deranged INR in 74%, prolonged APTT in 70%, elevated AST in 34%, ALT in 30%, and raised amylase and lipase in 48% of patients. Imaging detected free fluid on USG in 80% and haemoperitoneum on CT in 94% of cases. Small bowel was the most commonly injured organ (54%), followed by liver (20%), spleen (16%), mesentery (12%), duodenum (10%), colon (6%), and stomach (4%). Most injuries were isolated (76%), with grade II small bowel and duodenal injuries predominating. Patients aged 18–40 years exhibited the highest frequency of biochemical and imaging abnormalities, correlating with small bowel injuries (P < 0.00001). Conclusion: Laboratory and imaging investigations provide valuable diagnostic support in BAT but should complement clinical evaluation. Younger patients are at higher risk for small bowel injuries and exhibit more pronounced biochemical derangements. Early recognition and correlation with surgical findings are crucial to improve outcomes.
| Published in | Journal of Surgery (Volume 13, Issue 6) |
| DOI | 10.11648/j.js.20251306.11 |
| Page(s) | 152-161 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Blunt Abdominal Trauma, Intra-abdominal Injury (Iai), Laparotomy, Organ Injury Scaling
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APA Style
Islam, M. T., Shamsi, A. M. O. I., Hossain, M. S., Rahman, M. Z., Jahan, S. T., et al. (2025). Diagnostic Significance of Laboratory Tests in Correlating with Findings of Exploratory Abdominal Surgery Following Trauma. Journal of Surgery, 13(6), 152-161. https://doi.org/10.11648/j.js.20251306.11
ACS Style
Islam, M. T.; Shamsi, A. M. O. I.; Hossain, M. S.; Rahman, M. Z.; Jahan, S. T., et al. Diagnostic Significance of Laboratory Tests in Correlating with Findings of Exploratory Abdominal Surgery Following Trauma. J. Surg. 2025, 13(6), 152-161. doi: 10.11648/j.js.20251306.11
AMA Style
Islam MT, Shamsi AMOI, Hossain MS, Rahman MZ, Jahan ST, et al. Diagnostic Significance of Laboratory Tests in Correlating with Findings of Exploratory Abdominal Surgery Following Trauma. J Surg. 2025;13(6):152-161. doi: 10.11648/j.js.20251306.11
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Download@article{10.11648/j.js.20251306.11,
author = {Md. Toufiqul Islam and Atiqul Maula Omar Ibrahim Shamsi and Mohammad Sharif Hossain and Md. Ziaur Rahman and Syeda Tashfia Jahan and Md. Insanul Alam and Mahmudul Hasan Chowdhury and Ahsan Ahmed},
title = {Diagnostic Significance of Laboratory Tests in Correlating with Findings of Exploratory Abdominal Surgery Following Trauma},
journal = {Journal of Surgery},
volume = {13},
number = {6},
pages = {152-161},
doi = {10.11648/j.js.20251306.11},
url = {https://doi.org/10.11648/j.js.20251306.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20251306.11},
abstract = {Background: Blunt abdominal trauma (BAT) is a common cause of intra-abdominal injuries and poses significant diagnostic challenges. Laboratory and imaging investigations are essential in guiding the management of these patients. Objective: This study aimed to evaluate the diagnostic significance of laboratory tests in correlation with findings from exploratory abdominal surgery following trauma. Methods: This descriptive cross-sectional study was conducted in the Department of Surgery, Rangpur Medical College and Hospital, Rangpur, Bangladesh, from July 2020 to December 2020. A total of 50 patients diagnosed with blunt abdominal trauma and requiring exploratory laparotomy were included in the study. Results: The majority of patients were aged 31–40 years (42%) with a male predominance (70%). Abdominal pain was the most common presenting symptom (100%), followed by abdominal distension (76%) and vomiting (24%). Clinical examination revealed tenderness in 90%, guarding/rigidity in 78%, and rebound tenderness and absent bowel sounds in 70% of patients. Laboratory abnormalities included deranged INR in 74%, prolonged APTT in 70%, elevated AST in 34%, ALT in 30%, and raised amylase and lipase in 48% of patients. Imaging detected free fluid on USG in 80% and haemoperitoneum on CT in 94% of cases. Small bowel was the most commonly injured organ (54%), followed by liver (20%), spleen (16%), mesentery (12%), duodenum (10%), colon (6%), and stomach (4%). Most injuries were isolated (76%), with grade II small bowel and duodenal injuries predominating. Patients aged 18–40 years exhibited the highest frequency of biochemical and imaging abnormalities, correlating with small bowel injuries (P Conclusion: Laboratory and imaging investigations provide valuable diagnostic support in BAT but should complement clinical evaluation. Younger patients are at higher risk for small bowel injuries and exhibit more pronounced biochemical derangements. Early recognition and correlation with surgical findings are crucial to improve outcomes.},
year = {2025}
}
TY - JOUR T1 - Diagnostic Significance of Laboratory Tests in Correlating with Findings of Exploratory Abdominal Surgery Following Trauma AU - Md. Toufiqul Islam AU - Atiqul Maula Omar Ibrahim Shamsi AU - Mohammad Sharif Hossain AU - Md. Ziaur Rahman AU - Syeda Tashfia Jahan AU - Md. Insanul Alam AU - Mahmudul Hasan Chowdhury AU - Ahsan Ahmed Y1 - 2025/12/09 PY - 2025 N1 - https://doi.org/10.11648/j.js.20251306.11 DO - 10.11648/j.js.20251306.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 152 EP - 161 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20251306.11 AB - Background: Blunt abdominal trauma (BAT) is a common cause of intra-abdominal injuries and poses significant diagnostic challenges. Laboratory and imaging investigations are essential in guiding the management of these patients. Objective: This study aimed to evaluate the diagnostic significance of laboratory tests in correlation with findings from exploratory abdominal surgery following trauma. Methods: This descriptive cross-sectional study was conducted in the Department of Surgery, Rangpur Medical College and Hospital, Rangpur, Bangladesh, from July 2020 to December 2020. A total of 50 patients diagnosed with blunt abdominal trauma and requiring exploratory laparotomy were included in the study. Results: The majority of patients were aged 31–40 years (42%) with a male predominance (70%). Abdominal pain was the most common presenting symptom (100%), followed by abdominal distension (76%) and vomiting (24%). Clinical examination revealed tenderness in 90%, guarding/rigidity in 78%, and rebound tenderness and absent bowel sounds in 70% of patients. Laboratory abnormalities included deranged INR in 74%, prolonged APTT in 70%, elevated AST in 34%, ALT in 30%, and raised amylase and lipase in 48% of patients. Imaging detected free fluid on USG in 80% and haemoperitoneum on CT in 94% of cases. Small bowel was the most commonly injured organ (54%), followed by liver (20%), spleen (16%), mesentery (12%), duodenum (10%), colon (6%), and stomach (4%). Most injuries were isolated (76%), with grade II small bowel and duodenal injuries predominating. Patients aged 18–40 years exhibited the highest frequency of biochemical and imaging abnormalities, correlating with small bowel injuries (P Conclusion: Laboratory and imaging investigations provide valuable diagnostic support in BAT but should complement clinical evaluation. Younger patients are at higher risk for small bowel injuries and exhibit more pronounced biochemical derangements. Early recognition and correlation with surgical findings are crucial to improve outcomes. VL - 13 IS - 6 ER -
Department of Surgery, Rangpur Community Dental College and Hospital, Rangpur, Bangladesh
Department of Surgery, Medical College for Women and Hospital, Dhaka, Bangladesh
Department of Urology, Medical College for Women and Hospital, Dhaka, Bangladesh
Department of Surgical Gastroenterology, National Gastroliver Institute & Hospital, Dhaka, Bangladesh
Department of Obstetrics and Gynaecology, Medical College for Women and Hospital, Dhaka, Bangladesh
Department of Orthopaedics, Medical College for Women and Hospital, Dhaka, Bangladesh
Department of Paediatric Surgery, Comilla Medical College Hospital, Cumilla, Bangladesh
Department of General Surgery, United Hospital Limited, Dhaka, Bangladesh
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