Potić D, Ristić M, Lalević S, Jovanović I, Pavlović I
Srp Arh Celok Lek. 1989 Jul-Aug;117(7-8):513-8.
Over the period from 1979 to 1988 the authors treated three patients with perforated colon and rectum, manifested during contrast barium X-ray examination. Perforation of the caecum occurred in one patient; perforation of the sigmoid flexure in the second subject and perforation of the ampulla recti in the third patient. Caecum perforation was spontaneous, and that of the rectum and the sigmoid flexure wall was due to rigid catheter during irigography. The patients were two women and one man. The youngest patient was 50 years old and the oldest was aged 75 years. Surgery of the perforated caecum and ampulla recti was carried out during the first 24 hours, and that of the sigmoid flexure on the seventh day. The following radical operations were performed: the right hemicholoctomy, sigmoid resection with temporary cholostoma, rectum amputation, manyfold drainage of abdominal cavity. Antibodies were also administered. One patient died.
在1979年至1988年期间,作者治疗了3例在钡剂造影X线检查时发现的结肠和直肠穿孔患者。1例患者发生盲肠穿孔;第2例患者为乙状结肠穿孔;第3例患者为直肠壶腹穿孔。盲肠穿孔为自发性,直肠和乙状结肠壁穿孔是由于灌肠造影时使用刚性导管所致。患者为2名女性和1名男性。最年轻的患者50岁,最年长的75岁。盲肠和直肠壶腹穿孔患者在最初24小时内进行了手术,乙状结肠穿孔患者在第7天进行了手术。实施了以下根治性手术:右半结肠切除术、带临时结肠造口的乙状结肠切除术、直肠切除术、腹腔多处引流。同时也使用了抗生素。1例患者死亡。