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이명복,김창호,박희주,정재삼,신응진,송목평 대한외상학회 1993 大韓外傷學會誌 Vol.6 No.1
We experienced a typical case of intramural duodenal hematoma after blunt abdominal trauma in 16 years old male, and treated by simple evacuation of the hematoma with good result. In general, intramural duodenal hematoma usually subsides in time or may be treated by conservative manag ment consisting of nasogastric suction and intravenous administration of fluid Because of persistent obstruction or bleeding or error in diagnosis, the patients may be operated on simple evacuation of the hematoma or rarely may require resection of the involved segment in case of huge hematoma. But we would suggest that the lesion is most successfully managed by surgical intervention of simple evacuation of the hematoma with or without added gastroenterostomy. And abdominal CT is good for early diagnosis. A review of the literature in regard to the cause, diagnosis and treatment of the disease is made.
김형철,이문수,김도훈,조무식,백무준,송목평 대한외상학회 1996 大韓外傷學會誌 Vol.9 No.1
Colon and rectal injury is usually caused by penetrating injury, especially gun shot injury. It's incidence is increasing like other abdominal injury due to the development of vehicles, increasing population, and violence. Compressed air has a variety of usage as a source of power for tool and cleaning of machines and fabrics. But the colorectal injury with compressed air in modern life. After the first report of pneumatic rupture of the colon by Stone in 1904, about 100 colorectal injuries with compressed air were reported. The mechanism of injury is the increased intraluminal pressure by compressed air applied to the anus. The most common postoperative complications was wound infection. In this paper, we report three colorectal trauma patients who had a compressed air injury to their anus while they were dusting his clothing with a current of compressed air, usually just before leaving work. One patient was expired after operation. The other two patients were treated by primary repair and transverse loop colostomy in the Flint grade Ⅰand sigmoid loop colostomy in the Flint grade Ⅱ without serious complications.