Shock-associated right colon ischemia and necrosis. J Trauma 1995 Dec;39(6):1171-4
Date
12/01/1995Pubmed ID
7500415DOI
10.1097/00005373-199512000-00029Scopus ID
2-s2.0-0029614753 (requires institutional sign-in at Scopus site) 39 CitationsAbstract
Ischemic complications associated with hemorrhagic shock after blunt or penetrating trauma can result in acute renal, pulmonary, or hepatic failure. Less well described is the association between hemorrhagic shock and ischemic necrosis of the right colon, with only 14 cases reported in the literature. Herein, we report three previously healthy young trauma victims with shock-associated right colon necrosis. Each patient suffered a period of hypotension after injury. Diagnosis and operation took place within 2 days of initial injury in all three cases. In each patient, a right colectomy and primary anastomosis was performed without complication. Pathologic examination of the resected specimens showed ischemic necrosis, but no evidence of vascular thrombosis or embolic occlusion of the mesenteric vessels. The etiology of this type of ischemic colitis is not clear, but seems to represent a form of nonocclusive mesenteric ischemia. Knowledge of this disease process will lead to early recognition, prompt treatment, and a satisfactory outcome.
Author List
Ludwig KA, Quebbeman EJ, Bergstein JM, Wallace JR, Wittmann DH, Aprahamian CAuthors
Kirk A. Ludwig MD Chief, Professor in the Surgery department at Medical College of WisconsinEdward J. Quebbeman MD Emeritus Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAdult
Child
Colon
Humans
Ischemia
Male
Middle Aged
Necrosis
Shock, Hemorrhagic
Wounds and Injuries
