What are the indications for colon resection (colectomy) in patients with colon trauma?

Updated: Apr 05, 2021
  • Author: David E Stein, MD, MHCM; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

Bowel perforation is a medical emergency that necessitates immediate surgical intervention. In addition to occurring as a consequence of penetrating injuries such as stabbing or gunshot wounds, bowel perforation can occur as a complication of colonoscopy or other procedures. Bowel perforation can even result from blunt trauma. [11]

Bowel perforation does not always call for a colectomy. If the lesion is small enough, a primary repair can be performed. Factors that may preclude primary repair include severely inflamed tissues, feculent peritonitis, distal obstruction, presence of a foreign body or tumor, and an impaired blood supply.


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