الفهرس 
Patient and MethodsOnly 14 pages are availabe for public view
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Abstract
In blunt abdominal trauma intestinal and mesenteric injuries are less common than solid organ injury (liver, spleen) but they regularly pose diagnostic difficulties that may result in detrimental therapeutic delay.
Clinical and radiological picture of intestinal and mesenteric injury is obvious leading to treatment without delay.
The aim of this work is to study three predictos (CT scan grade of mesenteric injury, white blood cell count, and abdominal tenderness) to create a new bowel injury score, with a score 2 or greater being associated with bowel hollow viscus injury.
The patients were divided into three groups the first group was subjected to immediate operation, the second was subjected to delayed operation, and the other group had no operation.
Our study revealed the following:
17 patients (56.7%)had immediate operation, 8patients (26.7%) had delayed operation (> 4 hours) and 5 patients (16.7%) had no operation.
Those patients who had immediate and delayed operation had sore 2 or greater in contrast to those who had score less than 2 who had no operation.
The delayed operation is due to prescence of other distractive injury in multi-trauma patients (fracture ribs, fracture pelvis) which delay physical assessment of those patients.