Pattern and outcomes of colonic injuries among a sample of Iraqi patients

Abbas Ghali Hameed, Mahmood J. Saood, Mohanad Hamed Abdulla


Background: Colonic injury is one of the frequent injuries affecting different age groups especially young population. It is potentially lethal in its course and commonly associated with significant injuries to other organs. The aim of this study was to describe the pattern of presentation, management modalities and mortality of colonic injuries among a sample of Iraqi patients.

Methods: This is prospective study on 75 patients who were admitted to the general surgical ward of Al-Khadimya teaching hospital, Baghdad-Iraq, with colonic injury and had surgical treatment during a period of two years. The clinical parameters included: site of colonic injuries, mode of colonic injury management shock presenting in the emergency room degree of contamination (mild, moderate, and severe), and associated intra-&extra- abdominal injuries.

Results: Majority of patients were male. Mean age of sample was 28.47 years. The commonest site of injury was transverse, sigmoid, and descending colon. Primary repair was the first modality followed by repair and proximal colostomy. The overall mortality was 26/75 (35%). Eighteen deaths (71%) occurred in the first 24 hours most of them due to associated major injuries and irreversible shock. Eight deaths (29%) occurred after 24 hours all of them due to septic complications.

Conclusions: Primary repair is the main approach in colonic repair. In the absence of shock, associated injuries, or gross faecal soiling, primary repair may be considered. Mortality is considered high and need to be investigated in future research.


Colonic, Injuries, Iraq, Outcomes

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