gms | German Medical Science

129. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

24.04. - 27.04.2012, Berlin

Closed trauma of right colon

Meeting Abstract

  • Fernando Bonilla - Hospital de Clinicas. Facultad de Medicina, Departamento de Emergencia, Montevideo
  • Nicolás Muniz - Hospital de Clinicas. Facultad de Medicina, Departamento de Emergencia, Montevideo
  • Luis Belderrain - Hospital de Clinicas. Facultad de Medicina, Departamento de Emergencia, Montevideo
  • Marcello Viola - Hospital de Clinicas. Facultad de Medicina, Departamento de Emergencia, Montevideo

Deutsche Gesellschaft für Chirurgie. 129. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 24.-27.04.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12dgch438

DOI: 10.3205/12dgch438, URN: urn:nbn:de:0183-12dgch4384

Published: April 23, 2012

© 2012 Bonilla et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Introduction: When closed trauma of the abdomen happens, colon is hurt in less tan 5 %.

Materials and methods:

  • Comments: Male 17 years old, he was kicked 20 hours ago at the toraco-abdominal region. No other trauma. Hemodynamic stability.
  • Computer tomography: Circumferential hematoma of the right colon. Free abdominal liquid. Flushing from the hematoma. Spleen and liver: no lesions.

Results: Colonic mucosa without lesion. Big hematoma that occupied the hole circumference of the right colon. Right colectomy, with ileo colic suture.

Conclusion: Although these lesions are not frequent, we should always suspect them when there is a closed abdominal trauma, if not we could have misdiagnosis and obstructive or skeptical complications could appear.