Clinical Research
Copyright ©2007 Baishideng Publishing Group Co.
World J Gastroenterol. Jun 21, 2007; 13(23): 3215-3220
Published online Jun 21, 2007. doi: 10.3748/wjg.v13.i23.3215
Table 1 Diagnosis and demographic data of all the patients
DiagnosisnMaleFemaleAge (yr)mean ± SD
1Self-inflicted colon injury2222023.6 ± 9.4
23Trauma (stab wounds and blast trauma)1615131 ± 8.6
3Volvulus sigmoid colon2016456.7 ± 7.0
41Stomach cancer extending to transverse colon97253 ± 9.6
51Obstructing left colon cancer1411354.7 ± 11
6Amoebic colon abscess43140.7 ± 9.6
7Endometriosis of left colon40431.2 ± 3.5
8Ischaemic colitis (post-AAA repair)44057.2 ± 3.3
92Iatrogenic65131.6 ± 7.7
10Strangulated ventral hernia40454 ± 2.0
Total103832042.4 ± 16.3
Table 2 Associated injuries in patients presenting with stab wounds
n
Small bowel injury5
Stomach injury2
Mesenteric tear4
Pneumothorax2
Liver tear (minor)2
Total15
Table 3 Colon Organ Injury Scale1 (Moore et al, 1990)
GradeInjury
IHaematomaContusion or haematoma without devascularization
LacerationPartial thickness, no perforation
IILaceration< 50% of the circumference
IIILaceration≥ 50% of the circumference without transection
IVLacerationTransection of the colon
VLacerationTransection of the colon with segmental tissue loss
VascularDevascularised segment
Table 4 Colon injury grades: In 38 patients involved in stab wounds, blast trauma and self-inflicted injuries
Graden
II4 (10.5%)
III31 (81.6%)
V3 (7.9%)
Table 5 Morbidity and mortality
n
Pulmonary complication5
Deep vein thrombosis1
Myocardial infarction & heart failure3
Incisional hernia1
Urinary retention3
Death1