Colonic (splenic flexure) necrosis due to thrombosis of the middle colic artery following blunt abdominal trauma

Authors

  • Raul Coimbra
  • José Ribeiro Aguiar
  • Samir Rasslan
  • Silvio Pires Ressurreição

Keywords:

Abdominal trauma, colonic necrosis, shock, hemorrhage, arterial thrombosis, intestinal ischemia

Abstract

We report an unusual case of a 28-year-old man who developed a colonic necrosis due to thrombosis of the middle colic artery 18 hours following blunt abdominal trauma. Although rare, this condition can occur in those patients whom non surgical treatment was initially performed.

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Author Biographies

Raul Coimbra

School Medicine, Santa Casa , Department Surgery, São Paulo, Brazil.

José Ribeiro Aguiar

School Medicine, Santa Casa, Department Surgery, São Paulo, Brazil.

Samir Rasslan

School Medicine, Santa Casa, Department Surgery, São Paulo, Brazil.

Silvio Pires Ressurreição

School Medicine, Santa Casa , Department Surgery, São Paulo, Brazil.

References

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GRIFFITHS J.D.: Surgical anatomy of the blood supply of the distal colon. Ann Roy Coll Surgeons 19:241, 1956.

GULY H.R.; STEWART I.P.: Ischemic colitis with perforation in a patient with multiple injuries. Injury 14:100, 1982

LILLEHEI R.C.; LONGERBEAM J.K.; BLOCH J.H. et al.: The nature of irreversible shock: experimental and clinical observations. Ann Surg 160:682, 1964.

MICHAELS N.A.; SIDDHARTH P.; KORNBLITH P.L. et al.: The variant blood supply to the small and large intestines: Its import in regional resections. J Int Coll Surg 39:127, 1963.

WILSON, E.A.: Extensive gangrene of the bowel after haemorrhagic shock: a case report. S Afr Med J 57:377, 1980

WILSON, R.; QUALHEIM R.E.: A form of acute hemorrhage enterocolitis affecting chronically ill individuals. Gastroen terology 27:431, 1954.

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Published

1994-07-07

How to Cite

1.
Coimbra R, Aguiar JR, Rasslan S, Ressurreição SP. Colonic (splenic flexure) necrosis due to thrombosis of the middle colic artery following blunt abdominal trauma. Sao Paulo Med J [Internet]. 1994 Jul. 7 [cited 2025 Oct. 16];112(3):622-4. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/966

Issue

Section

Case Report