Penetrating abdominal trauma (bowel and splenic injuries)

Case contributed by Ahmed Hamdy Mhsb , 8 May 2017
Diagnosis certain
Changed by Henry Knipe, 11 May 2017

Updates to Case Attributes

Title was changed:
Traumatic colonic perforationPenetrating abdominal trauma: bowel and splenic injuries
Presentation was changed:
Multiple stab injury injuries to the left side.
Body was changed:

At surgery, a splenectomy and left colon resection with anastomosis was performed.

A.A diaphragmatic tear was also discovered and repaired.

  • -<p>At surgery a splenectomy and left colon resection with anastomosis was performed.</p><p>A diaphragmatic tear was also discovered and repaired.</p>
  • +<p>At surgery, a splenectomy and left colon resection with anastomosis was performed.A diaphragmatic tear was also discovered and repaired.</p>

Tags changed:

  • core condition
  • emergencymedicine
  • general surgery

Updates to Study Attributes

Caption was removed:
TRIPHASIC MSCT
Findings was changed:
  • free intraperitoneal air noted mainly anterior to the liver surface
  • multiple deep lacerations of the spleen (Grade(grade III AAST splenic Injury)
  • large pericolic hematoma around the descending colon exerting mass effect with lumen
  • subtle adjacent colonic wall tear
  • small left haemothorax
  • right lobe of liver calcific foci (incidental)

Updates to Study Attributes

Caption was changed:
MSCT ENEMACT enema
Findings was changed:

ExtravasationContrast leak from the colon at the splenic flexure, indicating a perforation at this site.

Updates to Study Attributes

Modality was set to Annotated image.
Findings was added:

Black box outlines the site of contrast leak from bowel, indicating the site of perforation. 

Images Changes:

Image Annotated image (Coronal) ( update )

Specifics was removed.

Image 1 Annotated image (Coronal) ( update )

Position was set to .

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