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Case Reports
. 2024 Aug 13;19(11):4845-4848.
doi: 10.1016/j.radcr.2024.07.101. eCollection 2024 Nov.

Isolated sigmoid colon disruption after blunt abdominal trauma: Case report

Luong Thanh Đat  1 , Le Thanh Dung  2   3 , Nguyen Thanh Đat  1 , Nguyen Khac Đong  1 , Ta Xuan Truong  1 , Ninh Viet Khai  4 , Duong Trong Hien  5 , Nguyen Ngoc Đuc  2 , Nguyen Duc Son  6 , Phan Nhat Anh  2   6 , Tran Quang Loc  2   3
Affiliations
Case Reports

Isolated sigmoid colon disruption after blunt abdominal trauma: Case report

Luong Thanh Đat et al. Radiol Case Rep. .

Abstract

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.

Keywords: CT scan; Colon disruption; Surgery.

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Figures

Fig 1
Fig. 1
Abdominal computed tomography in the contrast-enhanced venous phase: image of sigmoid colon discontinuity accompanied by pericolonic fat infiltration (arrow) on coronal (A) and axial (B). Intraperitoneal gas (arrowhead) on axial (C).
Fig 2
Fig. 2
Intraoperative image showing the segmental discontinuity of the sigmoid colon, along with a tear in the corresponding suspensory mesocolon (arrow).
See this image and copyright information in PMC

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