J Korean Soc Traumatol.
2017 Dec;30(4):216-219. 10.20408/jti.2017.30.4.216.
Diagnostic Laparoscopy and Laparoscopic Diverting Sigmoid Loop Colostomy in Penetrating Extraperitoneal Rectal Injury: A Case Report
- Affiliations
-
- 1Division of Trauma Surgery, Department of Surgery, Chonnam National University Hospital, Gwangju, Korea. kontikithor@gmail.com
- 2Trauma Center, Pusan National University Hospital, Busan, Korea.
- KMID: 2405289
- DOI: http://doi.org/10.20408/jti.2017.30.4.216
Abstract
- Laparoscopy has been one of the most effective modalities in various surgical situations, although its use in trauma patients has some limitations. The benefits of laparoscopy include cost-effectiveness, shorter length of hospital stay, and less postoperative pain. This report describes diagnostic laparoscopy and laparoscopic diverting sigmoid loop colostomy in penetrating extraperitoneal rectal injury. A 41-year-old male presented with perineal pain following penetrating trauma caused by a tree limb. Computed tomography showed air density in the perirectal space and retroperitoneum. As his vital signs were stable, we performed diagnostic laparoscopy and confirmed no intraperitoneal perforation. Therefore, laparoscopic diverting sigmoid loop colostomy was performed. He was discharged without any complications despite underlying hepatitis C-related cirrhosis. Colostomy closure was performed 3 months later.
