The Digestive Tract Injury Secondary to Abdominal Blunt: Diagnosis and Management in Teaching Hospital of Kara (Togo)
Open Access Journal of Surgery
Objective: Report our experience of management of bowel injury after abdominal blunt in teaching hospital of Kara (Togo) Methodology: It's a retrospective and descriptive study which concerned the patients operated for bowels injury secondary to abdominal blunt in department of general surgery from 1 st January 2012 to 30 th April 2018.We have studied the etiologies and mechanism, time of admission at hospital, clinic and paraclinical data, treatment and outcomes. Results: Seventeen patients
... venteen patients have registered among which we have 16 men and one woman. The mean age is 28 years old with extremes ranging from 9 to 58 years old. The causes are traffic accident in 15 cases, sports accident in two cases and intentional injury in one case. The admission period is less than 6 hours in 15 cases and greater than 6 hours in two cases. Six patients had presented generalized abdominal defense while eleven patients had localized abdominal defense. The abdominal X-ray performed in fifteen patients had revealed pneumoperitoneum in six cases. The ultrasound revealed hemoperitoneum in two cases and bladder perforation in one case. The computed tomography performed in one case showed hemoperitoneum. All the patients had undergone laparotomy. The lesions were localized on the jejunum in 14 cases, on stomach in one case, sigmoid colon in one case and cecum in one case. The main surgical acts performed were: suture-excision of jejunum in 13 cases and stomach in one case; resection-anastomosis of jejunum in one case; reperitonization of sigmoid colon in one case and cecostomy in one case. Three cases of death were noted due to septic shock. Conclusion: The bowel injury is rare, but the diagnosis is difficult and done later because of the poverty of the early signs, causing a delay of the management increasing morbimortality's.