SIGMOID COLON PERFORATION DUE TO BLUNT ABDOMINAL TRAUMA: A CASE REPORT AND SHORT REVIEW OF LITERATURE

Authors

  • Neithiya T Senior Resident, Forensic Medicine & Toxicology, AIIMS Raipur
  • Siddhartha Das Professor, Forensic Medicine & Toxicology, JIPMER Pondicherry
  • Vinod Ashok Chaudhari MBBS, MID, MBA(HCS) Additional Professor,Department of Forensic Medicine and Toxicology, Jawaharlal Institute of postgraduate medical Education and Research, Puducherry India. 605006.
  • Srinivas B H Additional Professor, Pathology, JIPMER

Keywords:

Sigmoid colon perforation, Blunt abdominal trauma, cause of death, motor vehicle accidents

Abstract

Intestinal injury may result from motor vehicle accidents, industrial accidents, gunshot, and stab injuries. However, damage to the abdomen’s hollow organs, especially the sigmoid colon, following blunt abdominal trauma is uncommon. The literature does not commonly report a transaction or perforation of the sigmoid colon. We are writing a fatal case of sigmoid colon transaction due to blunt abdominal trauma and the underlying mechanism of perforation of the sigmoid colon. We identified the exact cause of death. The probable mechanism of perforation of the sigmoid colon is the crushing force between the vehicle and the pelvis. 

References

Chaubey D, Verma A, Pandey A, Gupta A. Isolated Rectal Perforation Presenting as Peritonitis in a Child with Enteric Fever. J Child Sci. 2017;01:e120–2.

Ho T, Chang S, Yeh H, Yeh C. Occult Perforation with Circumferential Ischaemic Injury of the Sigmoid Colon following Seatbelt Trauma: A Case Report. Hong Kong J Emerg Med. 2017;24(2):100–3.

Mukhopadhyay M. Intestinal injury from blunt abdominal trauma: a study of 47 cases. Oman Med J. 2009;24(4):256–9.

Eid HO, Hefny AF, Joshi S, Abu-Zidan FM. Non traumatic perforation of the small bowel. Afr Health Sci. 2008;8(1):36–9.

Doran H, Marin IT, Iaciu M, Pãtraºcu T, -. Iatrogenic perforations during colonoscopy. Chirurgia (Bucur). 2014;109(4):523–6.

Wakodkar AA, Singh AD, Mesharam HM. Descriptive study of isolated bowel injuries following blunt trauma abdomen. Indian J Appl Res. 2019;9:12- 13

Dauterive AH, Flancbaum L, Cox EF. Blunt intestinal trauma. A modern-day review. Ann Surg. 1985;201(2):198–203

Hughes TMD, Elton C, Hitos K, Perez JV, McDougall PA. Intra-abdominal gastrointestinal tract injuries following blunt trauma: the experience of an Australian trauma centre. Injury. 2002;33(7):617–26.

Zheng YX, Chen L, Tao SF, Song P, Xu SM. Diagnosis and management of colonic injuries following blunt trauma. World J Gastroenterol. 2007;13(4):633–6

Oztürk G, Aydinli B, Atamanalp SS, Celebi F, Acemoðlu H, Dönmez R. Blunt colonic injury: a 64- case series. Ulus Travma Acil Cerrahi Derg. 2009;15(4):347–52.

Ceci F, Picchio M, Corelli S, Gammardella P, Santilli M, Stannitti F, Rebonato A. Sigmoid colon injury due to blunt abdominal trauma. A case report. Il Giornale di chirurgia. 2006;27(6-7):259-61.

Ammar AS, Khalid R, Saeed S, Naqi SA. A rare case of Isolated Sigmoid Colon Perforation in Patients with Blunt Trauma Abdomen. J Emerg Med Trauma Surg Care. 2020;7:53-54.

Ertugrul G, Coskun M, Sevinc M, Ertugrul F, Toydemir T. Delayed presentation of a sigmoid colon injury following blunt abdominal trauma: a case report. J Med Case Rep. 2012; 6:247.

Brush BE, Geoghegan T. The mechanism of intestinal perforation from nonpenetrating abdominal trauma. AMA Arch Surg. 1956;73(3):455–64.

Cripps NP, Cooper GJ. Intestinal injury mechanisms after blunt abdominal impact. Ann R Coll Surg Engl. 1997;79(2):115–20.

Vance BM. Traumatic lesions of the intestine caused by nonpenetrating blunt force. Arch Surg. 1923; 7:197- 212.

Giugliano P, Massoni F, Crisci A, Ricci S. Death from Barotrauma Due to Compressed Air: A Medico legal Analysis. J Forensic Sci. 2016 Nov;61(6):1678– 80.

Tiwari A, Sharma H, Qamar K, Sodeman T, Nawras A. Recognition of Extraperitoneal Colonic Perforation following Colonoscopy: A Review of the Literature. Case Rep Gastroenterol. 2017;11(1):256– 64.

Ricciardi R, Paterson CA, Islam S, Sweeney WB, Baker SP, Counihan TC. Independent predictors of morbidity and mortality in blunt colon trauma. Am Surg. 2004;70(1):75–9.

Published

2023-05-30

How to Cite

SIGMOID COLON PERFORATION DUE TO BLUNT ABDOMINAL TRAUMA: A CASE REPORT AND SHORT REVIEW OF LITERATURE . (2023). Journal of Forensic Medicine & Toxicology, 40(1), 101–105. Retrieved from https://acspublisher.com/journals/index.php/jfmt/article/view/17784