Clin Surg | Volume 3, Issue 1 | Case Report | Open Access

Proximal Descending Colon Perforation Caused by Penetrating Trauma Abdomen; should it still be a Management Dilemma? A Case Report

Rajesh Sharma, Ramesh Bharti, Amar Verma, Rajesh Chaudhary*, Supriya and Birender Sharma

Department of Surgery, Dr. Rajendra Prasad Government Medical College Kangra, India

*Correspondance to: Rajesh Chaudhary 

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Abstract

Management of the colonic injuries has changed significantly over the past few decades. There was a time when such injuries were almost fatal. There was a management dilemma whether to close them primarily or do a colostomy. The undue fear associated with the primary closer of the colonic injuries has been laid to rest by many studies. Now a days the non-destructive colonic injuries are repaired primarily. Even the destructive wounds can be managed with resection and anastomosis of the involved segment with or without colostomy. We present the case of a patient who was brought with the history of penetrating trauma to the left side of the upper abdomen. Patient had penetrating trauma to the descending colon and was managed with primary closer of the colonic injury.

Keywords:

Abdominal trauma; Colonic injury; Colostomy; Memphis group

Citation:

Sharma R, Bharti R, Verma A, Chaudhary R, Supriya, Sharma B. Proximal Descending Colon Perforation Caused by Penetrating Trauma Abdomen; should it still be a Management Dilemma? A Case Report. Clin Surg. 2018; 3: 1877.

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