colon rupture
Introduction
Introduction to colonic rupture The effect of external force on colonic perforation is called colonic rupture, which is mainly manifested as abdominal pain, bloating and bacterial peritonitis. The incidence is smaller and the intestine is lower. Because the liquid content of the colon contents is small and the bacterial content is high, the peritonitis appears later, but it is more serious. A part of the colon is located in the retroperitoneum and is easily missed after injury, often leading to severe retroperitoneal infection. basic knowledge The proportion of illness: 0.005% Susceptible people: no special people Mode of infection: non-infectious Complications: colon fistula
Cause
Cause of colonic rupture
Colonic rupture occurs mostly in the upper abdomen or bilateral abdomen, most of which are open wounds, and the closure injury is minimal.
Prevention
Colonic rupture prevention
Mainly to prevent surgical complications and care.
Complication
Colonic rupture complications Complications
1. Cure: After surgical treatment, the symptoms and signs disappeared and the wound healed without complications.
2. Improvement: After surgery, the symptoms and signs are significantly improved, and the wound is infected.
3. Unhealed: There is a serious infection of the colon or abdominal cavity after the operation, and the second-stage surgery is needed.
Symptom
Colon rupture symptoms Common symptoms Abdominal distension abdominal pain Mobile dullness Yinchang Abdominal muscle tension shock
1. abdominal pain, bloating, fever;
2. Abdominal muscle tension, total abdominal tenderness, rebound tenderness, positive mobile voiced sound, bowel sounds weakened or disappeared;
3. Can be accompanied by shock performance.
Examine
Examination of colonic rupture
Positive abdominal puncture, abdominal X-ray examination showed pneumoperitoneum.
Diagnosis
Colon rupture diagnosis
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
Acute appendicitis, inflammatory bowel disease, ischemic colitis, colon cancer, intestinal obstruction caused by other causes, rupture of ovarian cysts, and renal colic should be considered.
