Caballero José, Alva-Torres Cinthya, García Edwin
Hospital Regional Docente de Trujillo, Trujillo, Peru.
Escuela de Posgrado de la Universidad Privada Antenor Orrego, Av. América Oeste N°, Trujillo, Peru.
Indian J Surg. 2017 Oct;79(5):458-460. doi: 10.1007/s12262-017-1596-0. Epub 2017 Feb 11.
Colonic perforation associated with blunt abdominal trauma is rare. Even more so is the formation of an inflammatory adhesion preventing leakage into the peritoneum. We present a case of the above in which the patient presented 1 month later with intestinal obstruction which required surgical intervention. A 38-year-old male, victim of a road traffic accident (RTA), presented with multiple fractures in his extremities which had to be operated on and was later discharged without complications. He was readmitted 1 month following the trauma with intestinal obstruction. During the operation, a stenosing colonic adhesion due to bowel perforation following blunt abdominal trauma was discovered. Resection of the transverse colon and a termino-terminal colo-colonic anastomosis was performed.
结肠穿孔与钝性腹部创伤相关的情况较为罕见。更罕见的是形成炎症粘连从而防止漏入腹膜。我们在此呈现这样一个病例，患者在1个月后因肠梗阻前来就诊，需要进行手术干预。一名38岁男性，道路交通事故（RTA）受害者，四肢多处骨折，接受了手术治疗，术后无并发症出院。创伤后1个月，他因肠梗阻再次入院。手术中发现钝性腹部创伤后肠穿孔导致的结肠狭窄性粘连。进行了横结肠切除及端端结肠-结肠吻合术。
