Colonic Injuries in Blunt Abdominal Trauma
Kerbala Journal of Medicine,
2009, Volume 2, Issue 4, Pages 472-478
Abstractaim: To retrospectively evaluate the preoperative diagnostic approaches and management
of colonic injuries following blunt abdominal trauma.
Methods: A total of 14 patients with colonic injuries caused by blunt trauma between june
2003 and june 2006 were enrolled. Data were collected on clinical presentation, investigations,
diagnostic methods, associated injuries, and operative management. Colonic injury-related
mortality and abdominal complications were analyzed.
Results: Colonic injuries were caused mainly by motor vehicle accidents 9 patients (64.4%) . Of
the 14 patients, 11 (78.5%) had other associated injuries. Laparotomy was performed within 6 h
after injury in 7cases (50%), . The most commonly injured site was located in the transverse colon.
The mean colon injury scale score was 2.8.Six patients (43%) were treated with diversion of faecal
stream by colostomy or exteriorization of injured segment. Eight cases were treated by primary
suturing and early resection and anastamosis. The overall mortality rate was 7%.
Conclusion: Colonic injuries following blunt trauma are especially important because of the
severity and complexity of associated injuries. A thorough physical examination and a
combination of tests can be used to evaluate the indications for laparotomy. One stage
management at the time of initial exploration is most often used for colonic injuries.
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