Delayed presentation with sigmoid perforation: a gut feeling that something is wrong
DOI:
https://doi.org/10.18203/2349-2902.isj20230698Keywords:
BAT, Colonic perforation, Non-operative managementAbstract
Blunt abdominal trauma (BAT) resulting in delayed colonic perforation is uncommon, even more so in the case of an isolated injury. This case report describes a presentation with a contained sigmoid perforation six days after low impact BAT which was managed non-operatively.
Metrics
References
Yealy DM, Schwab CW, Peitzman AB, Fabian TC. The trauma manual. Fifth edition. Philadelphia: Wolters Kluwer. 2020;433.
Sharpe JP, Magnotti LJ, Fabian TC, Croce MA. Evolution of the operative management of colon trauma. Trauma surgery Acute Care Open. 2017;2:1-7.
Yamamoto R, Logue AJ, Muir MT. Colon Trauma: Evidence-Based Practices. Clin Colon Rectal Surg. 2018;31(1):011-6.
Ertugrul G, Coskun M, Sevinc M, Ertugrul F, Toydemir T. Delayed presentation of a sigmoid colon injury following blunt abdominal trauma: A case report. J Med Case Rep. 2012;6(1):247.
Vance BM. Traumatic lesions of the intestine caused by nonpenetrating blunt force. Arch Surg (Chicago. 1920). 1923;7(1):197-212.
Khanna A, Gandhi A, Sykes PA. Blunt abdominal injury associated with colonic rupture into abdominal muscles. Injury. 1995;26(5):337-8.
Patil S, Brown TH. Seat belt injury causing delayed sigmoid colon fistula. Emergency Med J. 2009;26(5):386-6.
Nosanov LB, Barthel ER, Pierce JR. Sigmoid perforation and bucket-handle tear of the mesocolon after bicycle handlebar injury: a case report and review of the literature. J Pediatr Surg. 2011;46(12):e33-5.
AL Shareef B, AL Jurushi R, AL Saleh N. Delayed presentation of an isolated sigmoid Colon injury following blunt abdominal trauma: A case report with review of literature. Int J Surg Case Rep. 2021;83:105989.
Srivastava A, Yadav HK, Katiyar V. Isolated Sigmoid Colon Perforation in the Setting of Blunt Abdominal Trauma: A Case Series. Curēus (Palo Alto, CA). 2022;14(11):e31591.
Chua TC, Jeyakumar A, Ip JCY, Yuide PJ, Burstow MJ. Conservative management of acute perforated diverticulitis: A systematic review. J Digestive Dis. 2020;21(2):63-8.