| Autor: |
Abdourahmane Ndong, Adja Coumba Diallo, Mohamed Lamine Diao, Jacques Noel Tendeng, Ndiamé Sarr, Ismael Bayo Racine, Jacques Diounda Diatta, Saer Diop, Modou Gaye, Moustapha Diedhiou, Philippe Manyacka Ma Nyemb, Ibrahima Konaté |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Trauma Case Reports, Vol 42, Iss , Pp 100708- (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2352-6440 |
| DOI: |
10.1016/j.tcr.2022.100708 |
| Popis: |
Introduction: The management of abdominal penetrating trauma remains complex. Between the risk of negative laparotomy and missed visceral injury, laparoscopy is a good alternative. We report 2 cases of abdominal penetrating trauma with colonic injury diagnosed and treated with laparoscopic approach. Observations: The first patient was 15 years old, with no medical history and received at 3 h of a penetrating trauma by stabbing. Hemodynamic status was normal. An exploratory laparoscopy was performed. It objectified a penetration of the peritoneum on the left flank with an injury of the anti-mesenteric edge of the descending colon that was sutured. The second patient was 20 years old, with no history, who had a penetrating trauma of the left iliac fossa by stabbing. Arterial pressure was normal. He was received 6 h after the trauma. An exploratory laparoscopy objectified an injury of 2 cm located at the sigmoid colon which was sutured with a good evolution. Conclusion: Laparoscopy in abdominal wounds is a good option in selected patients. It has a diagnostic and therapeutic importance in colonic injuries. The limits are represented by the possibility of unrecognized visceral lesions that can lead to additional morbidity. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
