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Long Segment Colon Degloving From Blunt Abdominal Trauma
Aldin Malkoc1, Lana Mamoun2, Harpreet Gill1
1Arrowhead Regional Medical Center, Colton, CA 92324, USA.
Journal of Medical Cases
|May 8, 2024
Summary
Blunt abdominal trauma rarely causes hollow organ injury. This case highlights a rare colon degloving injury from a motor vehicle collision, emphasizing the need for prompt surgical intervention.
Area of Science:
- Trauma Surgery
- Gastrointestinal Surgery
- Emergency Medicine
Background:
- Blunt abdominal trauma infrequently leads to severe hollow organ injuries.
- Colon degloving injuries are exceptionally rare consequences of blunt force trauma.
- Motor vehicle collisions (MVCs) are a common cause of intestinal degloving.
Observation:
- A 21-year-old male with type 1 diabetes sustained extensive injuries in a high-speed MVC.
- The patient presented with burns, vascular dissection, multiple fractures, and free fluid in the pelvis.
- Exploratory laparotomy revealed extensive cecal and left colon degloving injuries.
Findings:
- A cecal serosal injury exceeding 50% circumference was identified.
- A 50 cm segment of the sigmoid and descending colon exhibited degloving.
- Surgical resection and primary anastomosis were performed successfully.
Implications:
- This case adds to the scarce literature on colon degloving injuries.
- Prompt surgical management is crucial for severe degloving injuries.
- Understanding rare trauma mechanisms is vital for effective treatment strategies.
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