A Review of Posttraumatic Bowel Injuries in Ibadan

Dongo, Andrew E.; Kesieme, Emeka B.; Irabor, DO; Ladipo, J K

doi:10.5402/2011/478042

Cited by 13 publications

(12 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bowel injuries are a leading cause of morbidity and mortality following trauma [5]. The colon and small intestine were the most commonly injured organs and had the most postoperative complications [21].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Penetrating Abdominal Trauma: Experience in A Teaching Hospital, Calabar, Southern Nigeria

Asuquo¹,

Umoh²,

Nwagbara³

et al. 2012

IJCM

View full text Add to dashboard Cite

Background: Penetrating abdominal trauma (PAT) typically involves the violation of the abdominal cavity by a gunshot wound (GSW) or stab wound. Recently several studies have favored a more conservative approach as opposed to mandatory exploratory laparotomy. Methods: Patients admitted in the University of Calabar Teaching Hospital (UCTH), Calabar, with PAT from January 2008 to December 2010 were prospectively studied based on a questionnaire. The total number of patients with PAT was compared with total number of emergencies, traumatic injuries and abdominal trauma seen during the same period. Results: A total of 48 patients presented with abdominal trauma: PAT 29 (60%) and blunt abdominal trauma (BAT) 19 (40%). The ages of the patients (28 male, 1 female) ranged from 3 -62 years (mean 28.1 years). Gunshot wound (GSW) 11 (38%) patients, stab wound 8 (27.6%) patients and machete cut 4 (13.8%) patients ranked first, second and third respectively as causes of PAT. The commonest organ injury was perforation of the small intestine. Four (13.8%) patients were managed conservatively while 25 (86.2%) patients had laparotomy. The duration of admission ranged from 2 -19 days (mean 10.5 days). Morbidity [surgical site infection (SSI)] and mortality were recorded in 2 (6.9%) and 3 (10.3%) patients respectively. Conclusion: Key areas that require attention have been highlighted. Revamping the ailing economy and gainful employment for youths are paramount areas that require prompt, dedicated and sustained intervention for reduction in violent crimes.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Management has gone full cycle from exploration for all cases of penetrating trauma to the present maxim that "not everybody with a hole in the abdomen needs exploration" [4,5]. The mandate for surgical exploration for all PAT has been questioned [6].…”

Section: Introductionmentioning

confidence: 99%

Penetrating Abdominal Trauma: Experience in A Teaching Hospital, Calabar, Southern Nigeria

Asuquo¹,

Umoh²,

Nwagbara³

et al. 2012

IJCM

View full text Add to dashboard Cite

show abstract

“…In some cases, the injury occurs in response to rising tension between the sudden anterior movement of bowels and the fixed intestinal components such as the Treitz ligament, ileocecal angle, and mesentery root. The blunt injuries of the small bowel may present as intramural hematoma, contusion, laceration, or rupture (2,8).…”

Section: Discussionmentioning

confidence: 99%

Full-Thickness Isolated Small Intestine Injury Due to Blunt Trauma

Arıkanoğlu¹,

Taskesen²,

Gül³

et al. 2015

EAJEM

View full text Add to dashboard Cite

Isolated small intestine injury because of blunt trauma is a rarely encountered situation. Because it is difficult to diagnose, this injury can be associated with a prolonged clinical course and delay in treatment. In this article, we present an isolated full-thickness ileal trauma associated with a motor vehicle traffic accident. A 35-year-old male patient was kept under observation at another medical center following the motor vehicle traffic accident and was discharged early because no pathology was detected. He was later referred to our hospital's emergency clinic with complaints of abdominal pain and vomiting after approximately 12 hours. The patient with acute abdomen was assessed by physical examination, laboratory tests, and imaging and was taken into surgery under emergency conditions. A full-thickness isolated ileal perforation and approximately 300 mm 3 of intestinal contents were detected by laparotomy. Resection of necrotic tissues and end-to-end anastomosis was performed. During the post-operative period, he was discharged without complications. Even in situations in which a thorough investigation and examination are performed, considering that there might be an isolated case of small intestine trauma, it is very important to extend the monitoring, imaging, and observation periods of patients with blunt trauma with repeated physical examinations. (Eurasian J Emerg Med 2015; 14: 204-6)

show abstract

“…The most frequently injured solid organ is the liver (19%), and the most frequently injured hollow organ is the small intestine (30%). These organs are closely followed by the colon (18%), stomach (7-20%), pancreas, and duodenum [5,8,[10][11][12]. Isolated gastric injuries due to abdominal trauma are rare; gastric injuries are usually accompanied by abdominal or extra-abdominal organ injuries [7,10,13].…”

Section: Discussionmentioning

confidence: 99%