Gómez Daniel, Cabrera Luis F, Pedraza Mauricio, Mendoza-Zuchini Andres, Sánchez Nicolás, Cure Hector W, Cure Bulicie Héctor O, Pulido Jean A
Department of Advanced Laparoscopic Surgery, Universidad Militar Nueva Granada, Colombia.
Department of General Surgery, Universidad El Bosque, Colombia.
Int J Surg Case Rep. 2020;76:288-292. doi: 10.1016/j.ijscr.2020.09.133. Epub 2020 Oct 6.
In the XIX century, the surgeon faces surgical challenges due to the creation of new technologies. Accidental or compressed air-induced injury to the colon and rectum is rare. We present the case of a 45-year-old patient who consults the emergency department, then a high-pressure rectal pneumatic trauma, with clinical findings of peritonism, managed with a Hartmann-type colostomy. and anterior resection of the rectum using laparoscopy, with findings of rectosigmoid perforation. With this, it can be demonstrated that minimally invasive surgery is a feasible approach in hemodynamically unstable patients without contraindication for pneumoperitoneum.
在19世纪,由于新技术的出现,外科医生面临着手术挑战。结肠和直肠因意外或压缩空气导致的损伤很少见。我们报告一例45岁患者的病例,该患者因高压直肠气创伤到急诊科就诊,有腹膜炎的临床体征,接受了哈特曼式结肠造口术治疗。并通过腹腔镜进行直肠前切除术,发现直肠乙状结肠穿孔。由此可以证明,微创手术对于无气腹禁忌证的血流动力学不稳定患者是一种可行的方法。