20Jan 2017

FILLING DEFECT IN ABDOMINAL X-RAY POST RECTAL CONTRAST HELPS TO DIAGNOSE DESCENDING COLON PERFORATION

  • Department of General Surgery,King Fahad Hospital of the University,Dammam, Saudi Arabia.
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Penetrating trauma to the abdomen is an emergent and life-threatening event which needs immediate surgical attention. Moreover, retroperitoneal penetrating trauma is more challenging when managed based on clinical evaluation alone.We report a case of descending colon perforation due to a pellet gunshot wound. The patient had no clinical manifestations of colonic perforation, e.g. peritonitis. The diagnosis was based solely on the finding of a filling defect on delayed rectal contrast. No similar finding has been described in trauma setting.


  1. Velmahos GC,et al.A selective approach to the management of gunshot wounds to the back. Am J Surg. 2013 Nov;174(3):342-6.
  2. Emeklioglu I,Kayaalp CAydin C. Case report on the demonstration of minute colonic perforations caused by birdshot injury. Eur J Trauma Emerg Surg. 2010 Jun;36(3):260-2.
  3. Tzovaras G,Hatzitheofilou C. New trends in the management of colonic trauma.  2005 Sep;36(9):1011-5.
  4. Ball CG. Currentmanagement of penetrating torso trauma: nontherapeutic is not good enough anymore.Can J Surg. 2014 Apr;57(2):E36-43.
  5. Pryor JP,Reilly PMDabrowski GPGrossman MDSchwab CW. Nonoperative management of abdominal gunshot wounds. Ann Emerg Med. 2004 Mar;43(3):344-53.
  6. Burns RK,Sariol HSRoss SE. Penetrating posterior abdominal trauma.  1994 Sep;25(7):429-31.
  7. Daly KP,Ho CPPersson DLGay SB.Traumatic retroperitoneal injuries: Review of Multidetector CT Findings.  2008 Oct;28(6):1571-90.
  8. Khan S,Pardhan ABawa THaroon N. Conservative management of an abdominal gunshot injury with a peritoneal breach: wisdom orabsurdity?. BMJ Case Rep. 2013. doi:10.1136/bcr-2013-201593.
  9. Clark KR. Imaging assessment of gunshot injuries. Radiol Technol.2016 Jul;87(6):627-44.
  10. Stefanou C,Zikos NPappas-Gogos GKoulas STsimoyiannisI.Laparoscopic bullet removal in a penetrating abdominal gunshot. Case Rep Surg. 2016;2016:2712439.
  11. Butt MU,Zacharias NVelmahos GC. Penetrating abdominal injuries: management controversies.Scand J Trauma ResuscEmerg Med. 2009 Apr 17;17:19.
  12. Singh JP,Steward MJBooth TCMukhtar HMurray D. Evolution of imaging for abdominal perforation. Ann R CollSurg Engl. 2010 Apr;92(3):182-8.

[Ali H. Al-Ameer,ShumailaTanveer, Ali A. Alghanim, Mohammed H. Almomen and MamounNabri. (2017); FILLING DEFECT IN ABDOMINAL X-RAY POST RECTAL CONTRAST HELPS TO DIAGNOSE DESCENDING COLON PERFORATION Int. J. of Adv. Res. 5 (1). 573-576] (ISSN 2320-5407). www.journalijar.com


ALI H. AL-AMEER
Department of General Surgery, King Fahad Hospital of the University-Dammam, Saudi Arabia.

DOI:


Article DOI: 10.21474/IJAR01/2784       DOI URL: http://dx.doi.org/10.21474/IJAR01/2784


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