ABSTRACT

In this study; we aimect to determine whether the diag-nosis and treatment protocols relatecl to blunt abdominal trauma and splenic injury cause any changes in the view of Forensic Medicine. We evaluated the fileş of 58 blunt abdominal trauma cases that are followed up by the Department of Pediatric Surgery of Medical Faculty of Uludağ University among 1988-1993.

Out of 33 cases (%57) who had intraabdominal hemorr-hage by the virtue of blunt abdominal trauma, splenic injury is identificated in 16 cases (%48). 12 cases (%75) with splenic injury were treated conservatively, whereas 4 (%25) had an operation. In the treatment protocol, CT, US, peritoneal lavage, hemoglobin, hematocrite values are evaluated.

The literatüre data concerning the blunt abdominal trauma is reviewed, the diagnosis and treatment methods are determinated and evaluated in the view of Forensic Medicine.

Keywords: intraabdominal Hemorrhage, Conservative Treatment, Blunt Abdominal Trauma, Splenic Trauma, Children.