Isolated sigmoid colon disruption after blunt abdominal trauma: Case report

Luong Thanh Đat, MD; Le Thanh Dung, PhD; Nguyen Thanh Đat, MD; Nguyen Khac Đong, MD; Ta Xuan Truong, MD; Ninh Viet Khai, PhD; Duong Trong Hien, PhD; Nguyen Ngoc Đuc, MD; Nguyen Duc Son, MD; Phan Nhat Anh, MD; Tran Quang Loc, MD

Radiology Case Reports (Nov 2024)

Isolated sigmoid colon disruption after blunt abdominal trauma: Case report

Luong Thanh Đat, MD,
Le Thanh Dung, PhD,
Nguyen Thanh Đat, MD,
Nguyen Khac Đong, MD,
Ta Xuan Truong, MD,
Ninh Viet Khai, PhD,
Duong Trong Hien, PhD,
Nguyen Ngoc Đuc, MD,
Nguyen Duc Son, MD,
Phan Nhat Anh, MD,
Tran Quang Loc, MD

Affiliations

Luong Thanh Đat, MD: General Surgery Department, Agriculture General Hospital, Hanoi, Vietnam
Le Thanh Dung, PhD: Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam
Nguyen Thanh Đat, MD: General Surgery Department, Agriculture General Hospital, Hanoi, Vietnam
Nguyen Khac Đong, MD: General Surgery Department, Agriculture General Hospital, Hanoi, Vietnam
Ta Xuan Truong, MD: General Surgery Department, Agriculture General Hospital, Hanoi, Vietnam
Ninh Viet Khai, PhD: Organ Transplant Centers, Viet Duc University Hospital, Hanoi, Vietnam
Duong Trong Hien, PhD: Laparoscopic Surgical Center, Viet Duc University Hospital, Hanoi, Vietnam
Nguyen Ngoc Đuc, MD: Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam
Nguyen Duc Son, MD: Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
Phan Nhat Anh, MD: Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
Tran Quang Loc, MD: Department of Radiology, Viet Duc University Hospital, Hanoi, Vietnam; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam; Corresponding author.

Journal volume & issue: Vol. 19, no. 11
pp. 4845 – 4848

Abstract

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Isolated colon injuries following blunt abdominal trauma have been reported at a rate of 0.1%-0.5%, with isolated sigmoid colon injuries involved in only 34.8% of single colon injuries. Surgical treatment options include recto-colonic anastomosis, resection with or without recto-colonic anastomosis, and colostomy. We report the case of a 39-year-old male patient diagnosed with isolated sigmoid colon rupture after a traffic accident, identified using contrast-enhanced abdominal computed tomography. The patient underwent emergency surgery, during which the Hartmann procedure was performed. This included excision of the sigmoid colon at both ends of the hiatus, creation of a proximal colostomy, closure of the distal end, and repair of the sigmoid disruption segment. Seven days after surgery, the patient's clinical symptoms were stable, and he was discharged.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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