BLUNT SMALL BOWEL TRAUMA

Sixty-four patients with blunt small bowel injury determined during 8 years were retrospectively reviewed. Causes of trauma were traffic accident in 40 (62.5%), falling down in 13 (20.3%) and blow trauma in 11 (17.7%) cases. The most frequent complaints and physical findings were abdominal pain and tenderness. Peritoneal lavage was positive in 33 (97%) of 34 suspected patients. Isolated blunt small bowel injury was found in 31 (48.4%) patients. The other patients had multiple system injuries. All simple and small perforations and complete rupture were resected with primary anastomosis. The most serious complications related to blunt intestinal injury were anastomotic leakage and intraabdominal abscess. Our morbidity and mortality rates were 17.1%and 10.9% respectively.

KÜNT ÝNCE BARSAK YARALANMALARI

Son 8 senelik süre içinde kunt ince barsak yaralanmasý nedeniyle tedavi edilen 64 hasta retrospektif olarak incelendi. Künt karýn travmasý nedeni olgularýn 40'ýnda (%62.5) trafik kazasý, 13'ünde (%20.3) yüksekten düþme ve 11'inde (%17.7) darbelerdi. En sýk rastlanan þikayet ve fizik muayene bulgusu abdominal aðrý ve hassasiyetti. Peritoneal lavaj 34 þüpheli hastada yapýldý ve 33'ünde (%97) müsbet olarak bulundu. 31 (%48.4) hastada izole ince barsak yaralanmasý saptandý. 33 hastada ise multipl travma mevcuttu. Tüm tek ince barsak yaralanmalarý iki kat üzerinden tamir edildi. Devaskülarize ince barsak atýþlarý, multipl perforasyonlar ve komplet rüptürlerde rezeksiyon ve primer anastomoz tercih edildi. Künt ÝB yaralanmasýyla ilgili en ciddi komplikasyonlar anastomoz kaçaklarý ve karýn içi abselerdir. Bizim morbidite ve mortalite oranlarýmýz sýrasýyla %17.1 ve %10.9 dur.