Delayed presentation of a sigmoid colon injury following blunt abdominal trauma: a case report.
BACKGROUND
The low incidence of colon injury due to blunt abdominal trauma and the lack of a definitive diagnostic method for the same can lead to delays in diagnosis and treatment, subsequently resulting in high morbidity and mortality.


METHODS
A 66-year-old woman with sigmoid colon injury was admitted to our emergency department after sustaining blunt abdominal trauma. Her physical examination findings and laboratory results led to a decision to perform a laparotomy; exploration revealed a sigmoid colon injury that was treated by sigmoid loop colostomy.


CONCLUSIONS
Surgical abdominal exploration revealed gross fecal contamination and a perforation site. Intra-abdominal irrigation and a sigmoid loop colostomy were performed. Our patient was discharged on post-operative day six without any problems. Closure of the sigmoid loop colostomy was performed three months after the initial surgery.
Department of General Surgery, Düzce Atatürk State Hospital, 81100, Muncurlu, Düzce, Turkey. mdgertugrul@gmail.com.
Gokhan
G
Ertugrul
Murat
M
Coskun
Mahsuni
M
Sevinc
Fisun
F
Ertugrul
Toygar
T
Toydemir