Basem ALShareef1, Raghad ALJurushi2, Nourah ALSaleh3. 1. Department Of Surgery, College Of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia; Al-Noor Specialist Hospital, Department of General Surgery, Makkah, Saudi Arabia. Electronic address: basem@ualberta.ca. 2. Al-Noor Specialist Hospital, Department of General Surgery, Makkah, Saudi Arabia. 3. Al-Noor Specialist Hospital, Department of General Surgery, Makkah, Saudi Arabia. Electronic address: alsaleh.nourah@gmail.com.
Abstract
INTRODUCTION AND IMPORTANCE: Isolated Colon injury due to blunt abdominal trauma is very rare. Due to lack of a definitive diagnostic method; it's very challenging to detect such injury and this will lead to delay in treatment and subsequently resulting in high morbidity and mortality. The current literature is relatively sparse concerning the management of blunt colon injuries. CASE PRESENTATION: Here, we report a case of a 17-year-old male patient with isolated sigmoid injury presented 5 days after MVC. He underwent sigmoid resection and end colostomy followed by reversal 6 weeks later. Currently, the patient is disease-free with a completely healed wound. CONCLUSION: The purpose behind this paper is to raise clinical suspicion regarding delayed presentation of blunt abdominal trauma and it effect on operative decision, so that timely diagnosis and proper management could be carried out. And to discuss the applicability of the defined management algorithm for penetrating colon injury on delay blunts colonic injury.
INTRODUCTION AND IMPORTANCE: Isolated Colon injury due to blunt abdominal trauma is very rare. Due to lack of a definitive diagnostic method; it's very challenging to detect such injury and this will lead to delay in treatment and subsequently resulting in high morbidity and mortality. The current literature is relatively sparse concerning the management of blunt colon injuries. CASE PRESENTATION: Here, we report a case of a 17-year-old male patient with isolated sigmoid injury presented 5 days after MVC. He underwent sigmoid resection and end colostomy followed by reversal 6 weeks later. Currently, the patient is disease-free with a completely healed wound. CONCLUSION: The purpose behind this paper is to raise clinical suspicion regarding delayed presentation of blunt abdominal trauma and it effect on operative decision, so that timely diagnosis and proper management could be carried out. And to discuss the applicability of the defined management algorithm for penetrating colon injury on delay blunts colonic injury.
Authors: Raymond I Okeke; Justin Lok; Prajwal Keranalli; Maaria Chaudhry; Christian Saliba; Richard Herman; L R Tres Scherer; Shin Miyata; Christopher Blewett Journal: Cureus Date: 2022-08-11