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Ruptured Bowel Updated 3/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Associated Conditions

DIAGNOSIS

  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Surgery
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description
  • A perforation of the wall of the small intestine or colon that results in intestinal contents contaminating the abdominal cavity. Perforations are divided into iatrogenic vs pathological vs traumatic (1).
  • Perforations are divided by anatomy:
    • Gastric/duodenal
    • Small bowel
    • Appendix
    • Colon
Epidemiology
  • Traumatic perforations (1):
    • Small bowel:
      • Injured in 80% of abdominal gunshot wounds
      • Injured in 30% of abdominal stab wounds
      • Injured in 5% of blunt abdominal trauma
    • Colon:
      • Injured in 20% of penetrating abdominal trauma
      • Injured in 7% of transpelvic gunshot wounds
  • Perforated duodenal ulcer:
    • Incidence has decreased in recent long-term studies from 14 in 1,000 to 8 in 1,000 person years; perforated duodenal ulcer is 5% of all abdominal emergencies.
  • Perforated appendicitis:
    • Occurs ...

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