| 篇名 |
Misinterpretation of Pneumoperitoneum in Thoracoabdominal Injuries: Report of Two Cases |
| 作者 |
Hsing-Lin Lin, Wei-Che Lee, Yuan-Chia Cheng,Tsung-Ying Lin, Chao-Wen Chen, Kow-Aung Chang |
| 卷期/出版年月 |
43卷6期 (2010/12) |
| 頁次 |
300-304 |
| 摘要 |
Colon perforation caused by blunt abdominal trauma is rare and the correct early
diagnosis of this condition may be difficult. However, a delayed diagnosis may prove
serious, and early repair of the perforation is critical. We report two cases of colon
perforation caused by abdominal blunt contusion with combined thoracic injury.
Due to the rarity of and the unfamiliarity with such injury, surgeons misinterpreted
the finding in computed tomography scans as abdominal air coming from the
thoracic injury and the diagnoses were difficult in both cases. In one patient the
condition was discovered in time, and the perforation was properly repaired, while a
delay in the other resulted in sepsis with permanent brain damage. Perforation of
the colon is sometimes difficult to diagnose in emergency medical care situations,
especially in multiple-trauma patients. Nevertheless, any suspicion of
pneumoperitoneum should be cautiously investigated and physicians should not only
depend on the image diagnosis but also consider further invasive procedures such as
laparoscopy or diagnostic peritoneal lavage to exclude possible hollow viscus injury. |
| 關鍵詞 |
colon perforation, pneumoperitoneum, misinterpretation,thoracoabdominal injury |
| 分類 |
Case Report |
