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논문 리스트

2022
Nonoperative management of colon and mesocolon injuries caused by blunt trauma: three case reports
대한외상학회
김정철, 조영권
논문정보
Publisher
대한외상학회지
Issue Date
2022-12-30
Keywords
-
Citation
-
Source
-
Journal Title
-
Volume
35
Number
4
Start Page
291
End Page
296
DOI
10.20408/jti.2022.0009
ISSN
17388767
Abstract
The therapeutic approach for colon injury has changed continuously with the evolution of management strategies for trauma patients. In general, immediate laparotomy can be considered in hemodynamically unstable patients with positive findings on extended focused assessment with sonography for trauma. However, in the case of hemodynamically stable patients, an additional evaluation like computed tomography (CT) is required. Surgical treatment is often required if prominent mesenteric extravasation, free fluid, bowel infarction, and/or colon wall perforation are observed. However, immediate intervention in hemodynamically stable patients without indications for surgical treatment remains questionable. Three patients with colon and mesocolon injuries caused by blunt trauma were treated by nonoperative management. At the time of admission, they were alert and their vital signs were stable. Colon and mesocolon injuries, large hematoma, colon wall edema, and/or ischemia were revealed on CT. However, no prominent mesenteric extravasation, free fluid, bowel infarction, and/or colon wall perforation were observed. In two cases, conservative treatment was performed without worsening abdominal pain or laboratory tests. Follow-up CT showed improvement without additional treatment. In the thi...

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이름 소속
김정철 의학과
조영권 의학과