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Isolated sigmoid colon disruption after blunt abdominal trauma: Case report
Luong Thanh Đat1, Le Thanh Dung2,3, Nguyen Thanh Đat1
1General Surgery Department, Agriculture General Hospital, Hanoi, Vietnam.
Radiology Case Reports
|September 5, 2024
Summary
Blunt abdominal trauma can cause rare isolated colon injuries, specifically sigmoid colon rupture. A 39-year-old male patient successfully underwent the Hartmann procedure for this injury following a traffic accident.
Area of Science:
- Trauma Surgery
- Colorectal Surgery
Background:
- Isolated colon injuries are rare, accounting for 0.1%-0.5% of blunt abdominal trauma cases.
- Sigmoid colon injuries represent a subset of these, occurring in 34.8% of single colon injuries.
- Surgical options for colon injuries include anastomosis, resection, and colostomy.
Observation:
- A case report details a 39-year-old male with an isolated sigmoid colon rupture after a traffic accident.
- Diagnosis was confirmed via contrast-enhanced abdominal computed tomography.
- The patient presented with symptoms of blunt abdominal trauma.
Findings:
- Emergency surgery was performed, utilizing the Hartmann procedure.
- This involved sigmoid colon excision, proximal colostomy creation, distal end closure, and repair of the disruption.
- The patient demonstrated stable clinical symptoms post-surgery.
Implications:
- The Hartmann procedure is a viable surgical option for isolated sigmoid colon rupture due to blunt trauma.
- Prompt diagnosis via CT and surgical intervention are crucial for patient outcomes.
- This case highlights successful management of a rare traumatic injury.
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