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Role of exploratory laparoscopy in haemodynamically stable patient with a penetrating abdominal trauma.

Muhammad-Sharizan EN, DiNicola VV - J Surg Case Rep (2015)

Bottom Line: A young lady presented to the hospital following a penetrating abdominal trauma.She was haemodynamically stable during the initial assessment.Despite fruitless finding from blood test, plain radiograph and computed tomographic scanning, a bowel contusion was found during an explorative laparoscopy.

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Affiliation: Department of Surgery, Noble's Hospital, Douglas, Isle of Man.

No MeSH data available.


Related in: MedlinePlus

Laparoscopic capture showing the contusion and ischaemic appearance of the descending colon.
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RJV066F2: Laparoscopic capture showing the contusion and ischaemic appearance of the descending colon.

Mentions: A computed tomographic (CT) scan of the abdomen and pelvis was arranged, which showed soft tissue injury on the left abdominal wall but no sign of penetration to the peritoneal cavity nor free fluid nor free gas in the abdominal cavity. Explorative laparoscopy was consented for and there were 30 cc free blood in the Douglas pouch (Fig. 1) and a contusive lesion of the descending colon (Fig. 2). The lesion appeared ischaemic and involved in the serosa and muscle layer of the colon (Fig. 2). The colonic lesion was sutured, and the wound was debrided and also sutured. A drain was left in situ. She recovered well and discharged as soon as bowel function recovered, which was on the fourth day postoperatively.Figure 1:


Role of exploratory laparoscopy in haemodynamically stable patient with a penetrating abdominal trauma.

Muhammad-Sharizan EN, DiNicola VV - J Surg Case Rep (2015)

Laparoscopic capture showing the contusion and ischaemic appearance of the descending colon.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4488622&req=5

RJV066F2: Laparoscopic capture showing the contusion and ischaemic appearance of the descending colon.
Mentions: A computed tomographic (CT) scan of the abdomen and pelvis was arranged, which showed soft tissue injury on the left abdominal wall but no sign of penetration to the peritoneal cavity nor free fluid nor free gas in the abdominal cavity. Explorative laparoscopy was consented for and there were 30 cc free blood in the Douglas pouch (Fig. 1) and a contusive lesion of the descending colon (Fig. 2). The lesion appeared ischaemic and involved in the serosa and muscle layer of the colon (Fig. 2). The colonic lesion was sutured, and the wound was debrided and also sutured. A drain was left in situ. She recovered well and discharged as soon as bowel function recovered, which was on the fourth day postoperatively.Figure 1:

Bottom Line: A young lady presented to the hospital following a penetrating abdominal trauma.She was haemodynamically stable during the initial assessment.Despite fruitless finding from blood test, plain radiograph and computed tomographic scanning, a bowel contusion was found during an explorative laparoscopy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Surgery, Noble's Hospital, Douglas, Isle of Man.

No MeSH data available.


Related in: MedlinePlus