[Traumatic jejuno-ileal ruptures: apropos of 18 cases at the Central Hospital of Yaounde].
Eighteen blunt small bowel traumas were reviewed in this retrospective study (1986-1996) concerning 12.8% of laparotomies for blunt abdominal trauma. The clinical presentation at admission was peritonitis (9 cases) or hemoperitoneum (4 cases) whereas 5 cases were diagnosed lately because of non specific signs at the beginning. All patients underwent surgery: simple suture or suture after excision of edges (12 cases); resection anastomosis (6 cases). There were no post-operative complications in most of the cases. The mortality rate was 5%. Blunt small bowel traumas are not frequent in our practice. Their diagnostic is often per-operative. If the clinical signs of intraperitoneal lesion are not present, a clinical follow-up by repeated and thorough physical examination can permit an early diagnosis. The surgical treatment is simple, and the prognosis more linked to severe associated lesions than the bowel lesion.
Essomba
A
A
Service d'Urologie, CHU de Cocody.
Masso-Misse
P
P
Bob'Oyono
J M
JM
Sosso
M A
MA
Malonga
E
E
D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D001265:Athletic Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D002648:Child; D006259:Craniocerebral Trauma; D005260:Female; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007082:Ileum / Q000293:injuries* / Q000601:surgery; D007583:Jejunum / Q000293:injuries* / Q000601:surgery; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology; D012189:Retrospective Studies; D012421:Rupture / Q000175:diagnosis / Q000601:surgery; D012675:Senegal / Q000453:epidemiology; D012769:Shock / Q000175:diagnosis / Q000209:etiology; D013161:Splenic Rupture; D013536:Suture Techniques; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery