[Traumatic jejuno-ileal ruptures: apropos of 18 cases at the Central Hospital of Yaounde]
| Autor: | A, Essomba, P, Masso-Misse, J M, Bob'Oyono, M A, Sosso, E, Malonga |
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| Jazyk: | francouzština |
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Rupture Laparotomy Adolescent Multiple Trauma Anastomosis Surgical Suture Techniques Accidents Traffic Shock Splenic Rupture Middle Aged Peritonitis Wounds Nonpenetrating Senegal Jejunum Ileum Athletic Injuries Hemoperitoneum Craniocerebral Trauma Humans Accidental Falls Female Child Retrospective Studies |
| Zdroj: | Dakar medical. 44(2) |
| ISSN: | 0049-1101 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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