Abstract
Colonic perforation associated with blunt abdominal trauma is rare. Even more so is the formation of an inflammatory adhesion preventing leakage into the peritoneum. We present a case of the above in which the patient presented 1 month later with intestinal obstruction which required surgical intervention. A 38-year-old male, victim of a road traffic accident (RTA), presented with multiple fractures in his extremities which had to be operated on and was later discharged without complications. He was readmitted 1 month following the trauma with intestinal obstruction. During the operation, a stenosing colonic adhesion due to bowel perforation following blunt abdominal trauma was discovered. Resection of the transverse colon and a termino-terminal colo-colonic anastomosis was performed.
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References
Watts DD, Fakhry SM (2003) EAST multi-institutional hollow viscus injury research group. Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the east multi-institutional trial. J Trauma 54(2):289–294
Pinto A, Magliocca M, Grassi R, Scaglione M, Romano L, Angelelli G (2001) Role of computerized tomography in the diagnosis of peritoneo-intestinal lesions resulting from closed trauma. Experience at 2 emergency departments. Radiol Med (Torino) 101(3):177–182
Dauterive AH, Flancbaum L, Cox EF (1985) Blunt intestinal trauma. A modern-day review Ann Surg febrero de 201(2):198–203
Sule AZ, Kidmas AT, Awani K, Uba F, Misauno M (2007) Gastrointestinal perforation following blunt abdominal trauma. East Afr Med J 84(9):429–433
Pimenta de Castro J, Gomes G, Mateus N, Escrevente R, Pereira L, Jácome P (2015) Small bowell perforation and mesentery injury after an unusual blunt abdominal trauma-case report. Int J Surg Case Rep 7C:51–53
Gaspar B, Negoi I, Paun S, Hostiuc S, Ganescu R, Beuran M (2014) Selective nonoperative management of abdominal injuries in polytrauma patients: a protocol only for experienced trauma centers. Maedica 9(2):168–172
Dowe MF, Shanmuganathan K, Mirvis SE, Steiner RC, Cooper C (1997) CT findings of mesenteric injury after blunt trauma: implications for surgical intervention. AJR Am J Roentgenol 168(2):425–428
Yusif-Zada K, Safarov R, Gafarov A (2013) Isolated small bowel perforation following blunt abdominal trauma. Ann Ital Chir 84(6):699–703
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Caballero, J., Alva-Torres, C. & García, E. Case Report: Intestinal Obstruction as a Late Presentation of Perforation of the Transverse Colon Following Blunt Abdominal Trauma. Indian J Surg 79, 458–460 (2017). https://doi.org/10.1007/s12262-017-1596-0
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DOI: https://doi.org/10.1007/s12262-017-1596-0