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- R P Gonzalez and B Turk.
- Department of Surgery, College of Medicine, University of South Alabama, Mobile 36617-2293, USA. rgonzalez@usouthal.edu
- Scand J Surg. 2002 Jan 1;91(1):87-91.
AbstractColonic or rectal injuries occur in up to 10% of patients that suffer penetrating or severe blunt abdominal trauma. The majority of colon injuries are diagnosed intraoperatively following a penetrating abdominal injury. Rectal injuries are usually diagnosed preoperatively with a high index of suspicion based upon the wounding missile trajectory. The vast majority of colon injuries can be primarily repaired with a significant trend toward avoiding colostomy whenever possible. Colostomy is increasingly reserved for rectal injuries and destructive colon injuries with extenuating circumstances such as hemodynamic instability and significant associated injuries.
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