Penetrating trauma (stabbing) injury to the large bowel

Case contributed by Michael P Hartung
Diagnosis certain

Presentation

Stabbed in left abdomen.

Patient Data

Age: 60 years
Gender: Male

Thickening of the mid descending colon with active extravasation of oral contrast through a medial defect, also resulting in free intraperitoneal air and mild peritonitis. Stranding in the left flank subcutaneous tissues/musculature indicating the entry point. 

Case Discussion

Uncommon case of stabbing injury into the left flank resulting in perforation of the colon and free spillage of oral contrast. 

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