A 77-year-old patient with a history of open sigmoidectomy with terminal colostomy performed in the emergency department 4 years ago for occlusive adenocarcinoma of the colon.
The patient attended the emergency department for transcolostomy evisceration of small bowel loops, after blunt abdominal trauma due to a fall from own height (Figure 1).
No previous eventration on examination/CT.
Urgent surgery was indicated, approach through previous mid laparotomy. Reduction of the eviscerated contents with a congestive but viable appearance. Mucosal defect of 3 cm, associated with a 2 cm pericolostomy aponeurotic defect. Both were closed with loose absorbable braided sutures (Figure 2).
Discharged on the 4th postoperative day with no immediate complications and none at one year.
Please cite this article as: Gómez Contreras R, Montilla Navarro EM, Izquierdo Aicart A, Arroyo Martín JJ. Evisceración transestomal por trauma abdominal cerrado. Cir Esp. 2022. https://doi.org/10.1016/j.ciresp.2022.05.003
