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Pancreatic Injury and Delayed Large Intestinal Perforation Caused by a Seat Belt Injury: A Case Report
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- Honda Masahiro
- Advanced Medical Emergency and Critical Care Center, Yamaguchi Univercity School of Medicine
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- Nakahara Takasi
- Advanced Medical Emergency and Critical Care Center, Yamaguchi Univercity School of Medicine
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- Fujita Motoki
- Advanced Medical Emergency and Critical Care Center, Yamaguchi Univercity School of Medicine
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- Kaneko Tadashi
- Advanced Medical Emergency and Critical Care Center, Yamaguchi Univercity School of Medicine
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- Kaneda Kotaro
- Advanced Medical Emergency and Critical Care Center, Yamaguchi Univercity School of Medicine
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- Yamasita Susumu
- Advanced Medical Emergency and Critical Care Center, Yamaguchi Univercity School of Medicine
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- Tsuruta Ryosuke
- Advanced Medical Emergency and Critical Care Center, Yamaguchi Univercity School of Medicine
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- Maekawa Tsuyosi
- Advanced Medical Emergency and Critical Care Center, Yamaguchi Univercity School of Medicine
Bibliographic Information
- Other Title
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- シートベルト外傷による遅発性大腸穿孔の１例
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Description
We report a pancreatic injury and delayed large intestinal perforation caused by a seat belt injury. An 18 -year-old woman was admitted to our emergency center after being involved in a traffic accident. She had sustained a type I pancreatic injury, a type Ia hepatic injury, fractures of the 7-9th right ribs, and a fracture of the 12th thoracic vertebra, without any severe abdominal symptoms or related findings. On the 14th day of hospitalization, a tendency towards abdominal distension was noted. Acute peritonitis caused by gastroin-testinal perforation was diagnosed based on an abdominal computed tomography examination and an abdominal cavity exploratory puncture. An emergency surgery was performed, and perforated points with remarkable hyperplasia were found in the wall of the transverse colon. A partial resection of the transverse colon and a colostomy were performed. She did not experience any remarkable postoperative complications and was transferred to an affiliated hospital on the 37th day of hospitalization. The possibility of delayed intestinal perforations must be kept in mind when treating cases with blunt abdominal injuries.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 24 (6), 1091-1095, 2004
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390001204734842112
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- NII Article ID
- 130004243385
- 10015443287
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed