Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Traumatic Cervical Spinal Cord Injury Patient with Jejunal Perforation

외상성 경부 척수 손상 환자에서 동반된 소장 천공 : 증례보고

  • Go, Seung Je (Department of Surgery, Trauma Center, of Dan-Kook University Hospital) ;
  • Yoon, Jeung Seuk (Department of Surgery, Trauma Center, of Dan-Kook University Hospital) ;
  • Yun, Jung Ho (Department of Trauma Center, Neurosurgery of Dan-Kook University Hospital)
  • 고승제 (단국대학교 의과대학 단국대학교병원 권역외상센터 외과) ;
  • 윤정석 (단국대학교 의과대학 단국대학교병원 권역외상센터 외과) ;
  • 윤정호 (단국대학교 의과대학 단국대학교병원 권역외상센터 신경외과)
  • Received : 2013.11.22
  • Accepted : 2013.12.19
  • Published : 2013.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

A 66 year-old woman had cervical spinal cord injury by an automobile. We performed emergency operation for partial quadriplegia. She recovered from motor weakness gradually, but complained of abdominal distension and mild dyspnea. A physical examination of her abdomen did not have tenderness and rebound tenderness. She underwent a decubitus view of chest X-ray due to aggravated dyspnea at postoperative 4 days. We detected free air gas of abdomen and immediately identified a cause of pneumoperitoneum by abdominal computed tomography. We performed an emergent laparotomy and confirmed a jejunal perforation. After an operation, she recovered well and is under rehabilitation.

Keywords

References

  1. Juler GL, Eltorai IM. The acute abdomen in spinal cord injury patients. Paraplegia 1985; 23: 118-23. https://doi.org/10.1038/sc.1985.20
  2. Miller BJ, Geraghty TJ, Wong CH, Hall DF, Cohen JR. Outcome of the acute abdomen in patients with previous spinal cord injury. ANJ J Surg 2001; 71: 407-11.
  3. Berlly MH, Wilmot CB. Acute abdominal emergencies during the first four weeks after spinal cord injury. Arch Phys Med Rehabil 1984; 65: 687-90.
  4. Atsushi M, Yasuharu T, Yosiki H, Takamasa H, and Tomohiko F. Ileal Perforation in a Patient with High Spinal Cord Injury: Report of a Case. Surg Today 2004; 34: 65-7. https://doi.org/10.1007/s00595-003-2625-0
  5. On ZB, Ohry A. The acute abdomen in spinal cord injury individuals. Paraplegia 1995; 33: 704-6. https://doi.org/10.1038/sc.1995.148
  6. Miller LS, Staas WE, Herbison GJ. Abdominal problems in patients with spinal cord lesions. Arch Phys Med Rehabil 1975; 56: 405-8.
  7. Yamamoto T. Acute abdomen in spinal cord injured patients (in Japanese). Geka Mook 1987; 48: 156-66.
  8. Ingersoll GL. Abdominal pathology in spinal cord injured persons. J Neurosurg Nurs 1985; 17: 343-8. https://doi.org/10.1097/01376517-198512000-00003
  9. Albert, T.J., Levine, M.J., Balderston, R.A., Cotler J.M. Gastrointestinal complications in spinal cord injury. Spine 1991; 16: 522-5. https://doi.org/10.1097/00007632-199110001-00013
  10. Walters, K., Silver, J. Gastrointestinal bleeding in patients with acute spinal injuries. Disability & Rehabilitation 1986; 8: 44-47. https://doi.org/10.3109/03790798609166511
  11. Gore, R.M., Mintzer, R.A., Calenoff, L. Gastrointestinal complications of spinal cord injury. Spine 1981; 6: 538-544. https://doi.org/10.1097/00007632-198111000-00002