Traumatic colonic perforation

Case contributed by Dr Ian Bickle

Presentation

Elderly gentleman. Driver in road traffic accident. Blunt trauma to abdomen. Generalised abdominal pain.

Patient Data

Age: 80
Gender: Male
Modality: CT

Pericolonic inflammatory change in the mid-transverse colon.

Foci of extra-luminal gas.

Haemoperitoneum.

Pooling of contrast in the mesentery in keeping with a bleed.

Post operative gross specimen

Modality: Photo

Section of transverse colon and its mesentery.

Large hole on the anti-mesenteric surface - perforation.

Case Discussion

Road traffic accidents (RTA's) are one of the commonest cause of abdominal trauma - typically blunt.

Solid organ injuries are by far more common than intestinal injuries.  When the later occur, it is usually in association with a solid organ injury.

This is a rare example of an isolated colonic perforation, with an associated mesenteric tear/haemorrhage.

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Case Information

rID: 29694
Case created: 14th Jun 2014
Last edited: 14th Mar 2016
Inclusion in quiz mode: Included

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