A Rare Case of Isolated Sigmoid Colon Perforation in Patient with Blunt Trauma Abdomen

IF 4.6 2区 教育学 Q1 EDUCATION & EDUCATIONAL RESEARCH
A. Ammar
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引用次数: 2

Abstract

A 47 years old male presented to emergency department with history of pain abdomen after road traffic accident 6 hours back. He had deceleration injury while driving a minivan when he hit a truck parked on road side. On presentation, his Airway and breathing was intact with GCS 15/15.Pulse was 110/min and blood pressure was 100/70 mmHg. His abdomen was generalized tender, mostly in the hypogastrium. Digital rectal examination was normal. Ultrasound abdomen showed free fluid in the peritoneal cavity and chest and abdominal X-rays were unremarkable. On opening the abdomen there was 7×7 cm isolated perforation in sigmoid colon 5 cm proximal to recto sigmoid junction. Repair of perforation was done and proximal double barrel sigmoid colostomy was made. Patient was discharged on 3rd post-operative day. Later after 4 months reversal of sigmoid colostomy was done and patient was discharged.
腹部钝伤患者孤立性乙状结肠穿孔一例
一名47岁男性,6小时前发生道路交通事故后,因腹部疼痛史到急诊科就诊。他在驾驶一辆小型货车时,撞上了一辆停在路边的卡车,减速受伤。在介绍中,他的气道和呼吸完整,GCS 15/15。脉搏为110/min,血压为100/70mmHg。他的腹部普遍疼痛,主要在下腹部。直肠指检正常。腹部超声检查显示腹腔内有游离液体,胸部和腹部X光检查不明显。在打开腹部时,乙状结肠直肠-乙状结肠交界处近5cm处有7×7cm的孤立穿孔。对穿孔进行了修复,并进行了近端双管乙状结肠造口术。患者于术后第3天出院。4个月后进行乙状结肠造口术,患者出院。
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来源期刊
Educational Technology & Society
Educational Technology & Society EDUCATION & EDUCATIONAL RESEARCH-
CiteScore
9.10
自引率
2.50%
发文量
1
审稿时长
20 weeks
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