Emergency treatment of blunt and penetrating injuries of colon

ABSTRACT

Twenty three patients with traumatic injuries of the colon were received in the emergency departments of Ain Shams University, Abd El-Kader Fahmy and Al Nozha Hospital. 11 patients had blunt trauma [47.8%], 12 patients experienced penetrating trauma [52.2%]. Blunt trauma commonly involved left colon in 9 patients out of 11 patients [81.8%] while penetrating trauma involved right or transverse colon II patients out of 12. [91.6%]. All patients with blunt injuries were treated with Iry repair of the colon. Ten patients with penetrating injuries were treated with primary colonic repair after resection of the affected segment, resection with proximal colostomy was done in two patients with penetrating injuries. Post-operative mortality was 2 patients [1.9%] on top of associated injuries, and postoperative chest infections. Morbidity was very low in patients with blunt injuries of colon, which encourage primary repair of colon in blunt and penetrating trauma