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Background: Trauma is a real public health issue, being the third leading cause of death in the world. Blunt Abdominal Trauma (BAT) represents a significant part of these traumas and constitutes a diagnostic and therapeutic challenge. The aim of this study is to determine the epidemiological and clinical profile of BAT in the Department of General Surgery at Aristide Le Dantec Hospital. Patients and methods: This was a retrospective and cross-sectional study from January 2012 to March 2017. Patients who were more than 15 years old with BAT were included. The studied parameters were: age, gender, delay of admission, etiology of the trauma, clinical signs, organ injury, type of treatment and evolution. Results: Thirty-seven patients were included. The mean age was 34.8 years ± 13.5. There were 35 men and 2 women. The etiologies were dominated by road traffic accidents (54.1%, n = 20) and assaults (21.4%, n = 8). Abdominal pain was found in all patients (100%, n = 37). It was associated with vomiting and fever in 32.4% (n = 12) and 27% (n = 10), respectively. There was no hemodynamic instability in the majority of cases (89.2%, n = 33). The most frequently injured organ was the spleen (16.2%, n = 6) followed by the liver and intestines each in 13.5% of cases (n = 5). Extra abdominal injury was noted in 32.4% of the cases (n = 12). Conclusions: The patient profile in our study was a young man victim of a road traffic accident. The most injured organ was the spleen followed by the liver. A good knowledge of this profile can be helpful to reduce the incidence and mortality associated with these injuries.

Introduction: Trauma is the leading cause of death in the first 4 decades of life, and the abdomen the third most affected location. For a complete lesion assessment in abdominal trauma, CT scan is the reference. Blood count is one of the first biological tests available in emergency, the white blood cell (WBC) could serve as a predictor of the existence of abdominal organ injury and therefore, the severity of the trauma. Our aim is to evaluate the ability of WBC count to predict an abdominal organ injury. Results: Sixty-eight patients were included. The mean of age was 31.3 years ± 20.7. The sex ratio was 12.9. There were blunt trauma in 54.4% of cases and penetrating trauma in 45.6% of cases. There was intra-abdominal organ injury in half of the patients (n = 34). The WBC count was higher in patients with organ injury (14690 elements per mm3 ± 5252.7) compared to those without injury (9752.38 elements per mm3 ± 4168.7). This difference was statistically significant (p = 0.001). The realization of the ROC curve found an AUC of 0.804 (IC: 0.672-0.935). There was a statistically significant relationship between leukocytosis and existence of an organ injury (p