Fatal Blunt Abdominal Trauma Involving Superior Mesenteric Vessels and Left Psoas Muscle

For Blunt Injuries of Abdomen majority of the cases i.e. 78.18% were of accidental, 18.18%were homicidal and 3.6% suicidal in nature. Immediate cause of death was shock and hemorrhage. Visceral injuries of the abdomen following blunt trauma present a great medico-legal problem to the forensic experts. We had a case of road traffic accident with fatal blunt abdominal trauma which had no external injuries. Rupture of superior mesenteric vessels, injuries to left psoas muscle, spleen, both kidneys and fracture of left hemi pelvis present internally. We also observed 1500ml of blood in the peritoneal cavity. Death is imminent in such fatal cases. Availability of first aid, transportation, tertiary trauma care facilities, availability of diagnostic procedures, intensity with which medical care is offered contribute to the survival of the accident victim. The main significance of blunt trauma abdomen is delay and difficulty in diagnosis, especially when there is minimal signs and symptoms to warrant an exploratory laparotomy. Early detection and emergency surgical intervention when necessary are critical in improving the outcome of treatment.