Delayed presentation of a sigmoid colon injury following blunt abdominal trauma: a case reportReport as inadecuate

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Journal of Medical Case Reports

, 6:247

First Online: 20 August 2012Received: 05 January 2012Accepted: 08 June 2012DOI: 10.1186-1752-1947-6-247

Cite this article as: Ertugrul, G., Coskun, M., Sevinc, M. et al. J Med Case Reports 2012 6: 247. doi:10.1186-1752-1947-6-247


IntroductionThe low incidence of colon injury due to blunt abdominal trauma and the lack of a definitive diagnostic method for the same can lead to delays in diagnosis and treatment, subsequently resulting in high morbidity and mortality.

Case presentationA 66-year-old woman with sigmoid colon injury was admitted to our emergency department after sustaining blunt abdominal trauma. Her physical examination findings and laboratory results led to a decision to perform a laparotomy; exploration revealed a sigmoid colon injury that was treated by sigmoid loop colostomy.

ConclusionsSurgical abdominal exploration revealed gross fecal contamination and a perforation site. Intra-abdominal irrigation and a sigmoid loop colostomy were performed. Our patient was discharged on post-operative day six without any problems. Closure of the sigmoid loop colostomy was performed three months after the initial surgery.

KeywordsAbdominal trauma Colon injury Sigmoid loop colostomy Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-6-247 contains supplementary material, which is available to authorized users.

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Author: Gokhan Ertugrul - Murat Coskun - Mahsuni Sevinc - Fisun Ertugrul - Toygar Toydemir


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