Delayed Presentation of Rectum and Sigmoid Colon Injury Following a Blunt Abdominal Trauma
Journal Title: Indian Journal of Emergency Medicine - Year 2019, Vol 5, Issue 2
Abstract
Introduction: The delayed presentation of Rectal Injuries / perforations following a blunt trauma to the abdomen adds significantly to the morbidity, mortality and increased hospital stay and pain to the patient. Case Report: A 42 yr old male patient has been admitted in the emergency department with history of blunt abdominal trauma after getting struck between the steering wheel and the drivers seat for a long time in a RTA. His vitals were normal. He was discharged home after the CT scan (both plain and contrast) showed no organ injury as reported by the radiologist. Later after 12 hrs he was readmitted in the emergency with severe abdominal pain and guarding. X- ray erect abdomen showed air under diaphragm and it was later diagnosed as rectal perforation in CT and also taken to OT for surgical repair. Conclusion: Rectal injury or perforation following a blunt abdominal trauma is such a trivial thing in the beginning to find even on CT scans. It takes time to evolve into fully blown acute abdomen with peritonitis. So there is a need for re-evaluation in all patients of blunt abdominal trauma who appears to be normal on investigations out of proportion to the injury that they sustained.
Authors and Affiliations
M. Khader Ali Khan
Keywords
Related Articles
- EP ID EP630013
- DOI 10.21088/ijem.2395.311X.5219.7
- Views 89
- Downloads 0
Clinical Profile and Carotid Intima thickness of Patients with Diabetes Mellitus
Under normal physiological conditions plasma glucose concentrations are maintained within a narrow range despite wide fluctuations in supply and demand through a tightly regulated and dynamic interaction between tissue s...
Complicated Femur Fracture with Acute Respiratory Distress Syndrome Secondary to Fat Embolism Syndrome
Fat embolism (FE) is defined as a blockage of vasculature by fat globules that originate either from bone marrow or adipose tissue. It mainly affects the lungs, but can also affect the skin, retina, and central nervous s...
Rare Presentation of Prolonged Impaction of A Button Battery in Esophagus without Life-Threatening Consequences
The diagnosis of button battery ingestion in toddler age group can be quite difficult as the patient cannot give the history himself/herself (unless it is witnessed). Such ingestion can lead to serious complications due...
A Case of Infant with Factor VII Deficiency Presenting as ICH
ICH can be spontaneous or traumatic. the most common cause of ICH in adults is trauma(road traffic accident or fall from height) and CVA. In neonates and infants ICH is caused by trauma associated with labor and delivery...
Evaluation of the Severity of Organophosphorus Compound Poisoning and Forecasting the Need for Ventilatory Support
Background and Aim: Organophosphates irreversibly inhibit the enzyme acetyl cholinesterase, leading to accumulation of acetylcholine at synapses and myoneural junctions. Present study was done with an aim to assess the s...