Colon and Rectal Trauma

  • Jeff Garner


The majority of colon and rectum injuries (CRI) are from penetrating trauma with blunt injury accounting for 2–17% of cases – these are predominantly motor vehicle collisions (MVCs). Out of over 220, 000 blunt trauma patients in a US multicenter study [1], only 2,632 (1.1%) had hollow viscus injury (HVI), 798 of which were colonic (0.35%), and 344 had colon injury as the only HVI. At trauma laparotomy, 5.5% had colon injury as the sole finding. The incidence of CRI appears to be increasing; it was 17.5% in 1971 [2] and 36% in 2010 [3] reflecting an increase in firearms injuries; only 5 out of 177 colonic injuries were from blunt injury in this recent series [3]. Combat-related CRI has a variable incidence (5.1–31%) and is dependent on the prevalence of personal body armor and the use of improvised explosive devices (IEDs) among other things. Colonic injury is the second and fourth commonest injured organ in penetrating and blunt abdominal trauma, respectively [1].


Fecal Diversion Colonic Injury Rectal Injury Damage Control Surgery Improvise Explosive Device 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Department of SurgeryThe Rotherham NHS Foundation TrustRotherhamUK
  2. 2.Academic Department of Military Surgery and TraumaRoyal Centre for Defence MedicineBirminghamUK

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