PERFORATION OF THE COLON AS A RESULT OF BLUNT ABDOMINAL TRAUMA: A CASE REPORTS

  • Arpad Ivanecz Oddelek za abdominalno in splošno kirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Miran Koželj Oddelek za abdominalno in splošno kirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Zvonko Borovšak Oddelek za anesteziologijo, intenzivno terapijo in terapijo bolečin Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Gregor Pivec Oddelek za abdominalno in splošno kirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Stojan Potrč Oddelek za abdominalno in splošno kirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
  • Mirjana Brvar Oddelek za radiologijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor
Keywords: abdominal injuries, large intestine, intestinal perforation, associated injuries, diagnosis

Abstract

Background. Blunt trauma to the abdomen is more likely to damage solid organs. Blunt injuries to the colon are uncommon and usually they follows a direct blow to the abdomen. Physical findings suggesting peritoneal iritation can be present early in the postinjury period but there is usually a delay in the manifestation of colonic injury. If the colonic perforation is present as a solitary injury, signs of peritoneal iritation are easier to recognize and they lead to further evaluation and operation. Because of the force required to injure the colon, associated injuries often coexist, consequently physical findings may be masked, diagnosis delayed, and outcome compromised.

Conclusions. Additionaly, the recent trend for conservative management of blunt abdominal trauma may lead to delay in diagnosis. Perioperative antibiotics and early laparotomy with complete intra-abdominal exploration and primary repair of the colon injury usually provide excellent results.

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How to Cite
1.
Ivanecz A, Koželj M, Borovšak Z, Pivec G, Potrč S, Brvar M. PERFORATION OF THE COLON AS A RESULT OF BLUNT ABDOMINAL TRAUMA: A CASE REPORTS. ZdravVestn [Internet]. 1 [cited 17Sep.2019];71(6). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1600
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Professional Article

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