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Small bowel perforation following blunt abdominal trauma

Wim Ceelen UGent, Uwe Hesse and Bernard de Hemptinne (1995) ACTA CHIRURGICA BELGICA. 95(4, suppl.). p.187-189
abstract
Small bowel perforation is a relative infrequent complication of blunt abdominal trauma. We reviewed the literature regarding this clinical entity and describe our experience in 22 patients. There were 17 male and 5 female patients; mean age was 34 years. Cause of the trauma was road traffic accident (18 cases) or fall (4 patients). Clinical investigation, peritoneal lavage, CT scanning, upper G1 tract opacification and subsequent laparotomy revealed a lesion of the duodenum in 3 cases, of the jejunum in 15 cases and of the ileum in 4 cases. Therapy consisted in primary closure of the bowel (17 cases); tube drainage in 4 cases and anus praeter in 1 case. One patient died because of ARDS and inflammatory syndrome; all the other patients had an uneventful postoperative course. It is concluded that peritoneal lavage remains the most appropriate diagnostic approach. In the absence of peritonitis primary closure can be safely done; otherwise tube drainage or anus praeter construction should be performed.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
DIAGNOSIS, IRRIGATION, ABDOMINAL INJURIES, INTESTINAL PERFORATION
journal title
ACTA CHIRURGICA BELGICA
Acta Chir. Belg.
volume
95
issue
4, suppl.
pages
187 - 189
Web of Science type
Article
ISSN
0001-5458
language
English
UGent publication?
yes
classification
A1
id
195988
handle
http://hdl.handle.net/1854/LU-195988
date created
2004-01-14 13:42:00
date last changed
2017-03-08 15:37:40
@article{195988,
  abstract     = {Small bowel perforation is a relative infrequent complication of blunt abdominal trauma. We reviewed the literature regarding this clinical entity and describe our experience in 22 patients.
There were 17 male and 5 female patients; mean age was 34 years. Cause of the trauma was road traffic accident (18 cases) or fall (4 patients).
Clinical investigation, peritoneal lavage, CT scanning, upper G1 tract opacification and subsequent laparotomy revealed a lesion of the duodenum in 3 cases, of the jejunum in 15 cases and of the ileum in 4 cases.
Therapy consisted in primary closure of the bowel (17 cases); tube drainage in 4 cases and anus praeter in 1 case.
One patient died because of ARDS and inflammatory syndrome; all the other patients had an uneventful postoperative course.
It is concluded that peritoneal lavage remains the most appropriate diagnostic approach. In the absence of peritonitis primary closure can be safely done; otherwise tube drainage or anus praeter construction should be performed.},
  author       = {Ceelen, Wim and Hesse, Uwe and de Hemptinne, Bernard},
  issn         = {0001-5458},
  journal      = {ACTA CHIRURGICA BELGICA},
  keyword      = {DIAGNOSIS,IRRIGATION,ABDOMINAL INJURIES,INTESTINAL PERFORATION},
  language     = {eng},
  number       = {4, suppl.},
  pages        = {187--189},
  title        = {Small bowel perforation following blunt abdominal trauma},
  volume       = {95},
  year         = {1995},
}

Chicago
Ceelen, Wim, Uwe Hesse, and Bernard de Hemptinne. 1995. “Small Bowel Perforation Following Blunt Abdominal Trauma.” Acta Chirurgica Belgica 95 (4, suppl.): 187–189.
APA
Ceelen, Wim, Hesse, U., & de Hemptinne, B. (1995). Small bowel perforation following blunt abdominal trauma. ACTA CHIRURGICA BELGICA, 95(4, suppl.), 187–189.
Vancouver
1.
Ceelen W, Hesse U, de Hemptinne B. Small bowel perforation following blunt abdominal trauma. ACTA CHIRURGICA BELGICA. 1995;95(4, suppl.):187–9.
MLA
Ceelen, Wim, Uwe Hesse, and Bernard de Hemptinne. “Small Bowel Perforation Following Blunt Abdominal Trauma.” ACTA CHIRURGICA BELGICA 95.4, suppl. (1995): 187–189. Print.