@article{ref1,
title="Indirect colonic injury after military wounding: a case series",
journal="Journal of trauma",
year="2011",
author="Webster, Claire and Mercer, Stuart and Schrager, Jason and Carrell, Thomas W. G. and Bowley, Douglas M. G.",
volume="71",
number="5",
pages="1475-1477",
abstract="BACKGROUND: : Colonic trauma in wartime most commonly results from direct injury along the path of a penetrating missile. Rarely, the colon may be injured by primary blast effect or by propagation of energy by the missile, remote from the track of the projectile. METHODS/RESULTS: : This article describes the clinical presentation and operative findings in five patients who sustained high energy-transfer gunshot wounds (GSWs) or fragmentation injuries from blast who were found to have sustained colonic injuries anatomically remote from the missile track/s. CONCLUSIONS: : Military surgeons should be aware of the phenomenon of indirect injury to the colon after high-energy transfer GSW and blast injury. A high index of suspicion should be maintained and cross-sectional imaging used where feasible. Primary colonic reconstruction was used safely in these patients with indirect colonic injuries.<p /> <p>Language: en</p>",
language="en",
issn="0022-5282",
doi="10.1097/TA.0b013e31822af672",
url="http://dx.doi.org/10.1097/TA.0b013e31822af672"
}