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Isolated Cecal Rupture after Blunt Abdominal Trauma
- Source :
- The Annals of African Surgery, Vol 17, Iss 3, Pp 134-136 (2020)
- Publication Year :
- 2020
- Publisher :
- Surgical Society of Kenya, 2020.
-
Abstract
- Cecal perforation following blunt abdominal trauma is an uncommon and challenging injury. We report a 19-year-old HIV-positive woman who presented with abdominal pain after a high-speed motor vehicle crash. Abdominal exam revealed a seatbelt sign with evidence of peritonitis; Focused Assessment with Sonography for Trauma showed free intraperitoneal fluid. After fluid resuscitation and antibiotics, the patient was taken for urgent laparotomy. Intraoperatively, we discovered hemoperitoneum and an isolated rupture of the cecum. A right hemicolectomy with end-to-end ileo-transverse colon anastomosis was performed. Her only significant postoperative complication was a superficial wound infection. We review the epidemiology of hollow viscus injury in blunt trauma and discuss important considerations in diagnosis and treatment. Keywords: Blunt abdominal trauma, Cecal rupture, HIV positive, Hollow viscus
- Subjects :
- medicine.medical_specialty
Abdominal pain
business.industry
medicine.medical_treatment
hollow viscus
lcsh:Surgery
Postoperative complication
hiv positive
lcsh:RD1-811
medicine.disease
Surgery
blunt abdominal trauma
Abdominal trauma
cecal rupture
Blunt trauma
Laparotomy
Hollow viscus
Medicine
Focused assessment with sonography for trauma
Hemoperitoneum
medicine.symptom
business
Subjects
Details
- Language :
- English
- ISSN :
- 25230816 and 19999674
- Volume :
- 17
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- The Annals of African Surgery
- Accession number :
- edsair.doi.dedup.....db108fbc9a8004e0c53270f98c527bd8