J Korean Soc Traumatol.
2013 Dec;26(4):319-322.
Traumatic Cervical Spinal Cord Injury Patient with Jejunal Perforation
- Affiliations
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- 1Department of Surgery, Trauma Center of Dan-Kook University Hospital, Cheonan, Korea. dutheji77@naver.com
- 2Department of Neurosurgery of Dan-Kook University Hospital, Cheonan, Korea.
Abstract
- A 66 year-old woman had cervical spinal cord injury by an automobile. We performed emergency operation for partial quadriplegia. She recovered from motor weakness gradually, but complained of abdominal distension and mild dyspnea. A physical examination of her abdomen did not have tenderness and rebound tenderness. She underwent a decubitus view of chest X-ray due to aggravated dyspnea at postoperative 4 days. We detected free air gas of abdomen and immediately identified a cause of pneumoperitoneum by abdominal computed tomography. We performed an emergent laparotomy and confirmed a jejunal perforation. After an operation, she recovered well and is under rehabilitation.
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