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Journal Article

Citation

Webster C, Mercer S, Schrager J, Carrell TWG, Bowley DMG. J. Trauma 2011; 71(5): 1475-1477.

Affiliation

Department of Surgery (C.W., D.B.), Royal Centre for Defence Medicine, Birmingham, United Kingdom; and Department of Surgery (S.M., J.S., T.W.G.C., D.B.), Anglo-American Hospital, Camp Bastion, Helmand Province, Afghanistan.

Copyright

(Copyright © 2011, Lippincott Williams and Wilkins)

DOI

10.1097/TA.0b013e31822af672

PMID

22071940

Abstract

BACKGROUND: : Colonic trauma in wartime most commonly results from direct injury along the path of a penetrating missile. Rarely, the colon may be injured by primary blast effect or by propagation of energy by the missile, remote from the track of the projectile. METHODS/RESULTS: : This article describes the clinical presentation and operative findings in five patients who sustained high energy-transfer gunshot wounds (GSWs) or fragmentation injuries from blast who were found to have sustained colonic injuries anatomically remote from the missile track/s. CONCLUSIONS: : Military surgeons should be aware of the phenomenon of indirect injury to the colon after high-energy transfer GSW and blast injury. A high index of suspicion should be maintained and cross-sectional imaging used where feasible. Primary colonic reconstruction was used safely in these patients with indirect colonic injuries.


Language: en

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