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Paper| Volume 23, ISSUE 1, P10-12, 1992

Non-obstructive colonic dilatation in the trauma patient: an analysis of six patients

  • J.V. Lewis
    Affiliations
    Department of Surgery, Shock Trauma Center, Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland, USA
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  • R.A.M. Myers
    Correspondence
    Requests for reprints should be addressed to: Roy A. M. Myers md miemss 22 S. Greene Street, Baltimore, MD 21201-1595, USA.
    Affiliations
    Department of Surgery, Shock Trauma Center, Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland, USA
    Search for articles by this author
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      Abstract

      Non-obstructive colonic dilatation was diagnosed in six of 13641 patients admitted to a Level I trauma centre over a 70-month period (incidence, < 0.05 per cent). Four were older than 60 years, and five required long-term support on a ventilator. Successful treatment depends on expeditious decompression of the dilated colon. Fibreoptic colonoscopy is the recommended method.
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