Summary
Perforation of the colon secondary to blunt trauma occurs only rarely. A total of 10 cases has been observed in our clinic in the course of the last 20 years, 9 of them resulting from traffic accidents. 7 patients survived the colon perforation and the associated injuries, which in some cases were severe. Perforation occurs mainly in those areas of the colon which are particularly liable to be damaged as a result of whiplash injuries as well as injuries from the impact itself. As far as prognosis and course are concerned, a distinction should be made between a colon perforation detected and treated immediately after the accident and a mural defect in the colon secondary to a previous traumatic lesion.
Zusammenfassung
Dickdarmperforationen durch stumpfe Gewalt sind selten. In den letzten 20 Jahren wurden an unserer Klinik insgesamt 10 Fälle beobachtet, 9 kamen durch Verkchrsunfälle zustande. 7 Patienten überlebten die Dickdarmperforation und die teilweise recht schweren Mitverletzungen. Zu einer perforierenden Verletzung kommt es vorwiegend an den Stellen des Dickdarms, an denen neben der direkten Gewalt in besonderem Maße auch Schleuderkräfte wirksam werden können. Hinsichtlich Prognose und Verlauf ist zwischen einer Dickdarmperforation, die unmittelbar nach dem Unfall festgestellt und behandelt wird, und einem Wanddefekt des Dickdarms zu unterscheiden, der erst sekundär nach traumatischer Vorschädigung entsteht.
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Bußmann, J.F. Stumpfes Bauchtrauma und Dickdarmperforation. Langenbecks Arch Chiv 326, 323–336 (1970). https://doi.org/10.1007/BF02449984
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DOI: https://doi.org/10.1007/BF02449984