Upadhyay Soham, Upadhyay Riddhi, Gandhi Arohi, Datta Arijit, Vadaliya Akshat, Barot Rushi
Smt. NHL Medical College, Ahmedabad, Gujarat, India.
Department of Surgery, Pramukhswami Medical College, Shree Krishna Hospital, Bhaikaka University, Karamsad, Gujarat, India.
SAGE Open Med Case Rep. 2025 Jul 10;13:2050313X251356370. doi: 10.1177/2050313X251356370. eCollection 2025.
Colonic perforation is prevalent in instances of abdominal trauma and is typically associated with anterior abdominal wall injury. Early diagnosis and prompt surgical intervention are essential to enhance patient outcomes. Delayed recognition of colonic perforation can result in severe complications, including peritonitis and sepsis. Diagnostic imaging, such as computed tomography, plays a critical role in determining the extent of injury and informing treatment decisions. This case report presents an instance in which a 16-year-old boy was grasped from behind and rotated laterally on both sides, resulting in multiple colonic perforations without any external abdominal injury. The child's life was saved by promptly performing surgery to repair the intestinal perforation and subsequently administering peritoneal wash. The boy remained under observation until his discharge from the hospital and attended all routine follow-up appointments. The young adolescent is now living a healthy and normal life. The presence of traumatic colon perforation without any visible external injury to the anterior abdominal wall makes this case unusual.
结肠穿孔在腹部创伤病例中很常见，通常与前腹壁损伤有关。早期诊断和及时的手术干预对于改善患者预后至关重要。结肠穿孔的延迟识别可导致严重并发症，包括腹膜炎和败血症。诊断性成像，如计算机断层扫描，在确定损伤程度和指导治疗决策方面起着关键作用。本病例报告介绍了一名16岁男孩被从背后抓住并向两侧横向旋转，导致多处结肠穿孔但腹部无任何外部损伤的情况。通过及时进行手术修复肠穿孔并随后进行腹腔冲洗，挽救了孩子的生命。该男孩在医院接受观察直至出院，并参加了所有常规随访预约。这位青少年现在过着健康正常的生活。无前腹壁可见外部损伤的创伤性结肠穿孔的存在使得该病例不同寻常。
