Silent but Serious: A Case of Colonic Perforation Masquerading as a Persistent Retrorectus Abscess Post Blunt Abdominal Trauma

  • Gond AK Junior Resident, General Surgery, All India Institute of Medical Sciences, Raebareli, UP, India
  • Saurabh A Assistant Professor, General Surgery, All India Institute of Medical Sciences, Raebareli, UP, India
  • Sivastava NK Additional Professor, General Surgery, All India Institute of Medical Sciences, Raebareli, UP, India
  • Kushwaha P Associate Professor, General Surgery, All India Institute of Medical Sciences, Raebareli, UP, India
  • Kumar S Assistant Professor, General Surgery, All India Institute of Medical Sciences, Raebareli, UP, India
Keywords: enterocutaneous fistula, colonic perforation, Blunt abdominal trauma, retrorectus abscess, hollow viscus perforation

Abstract

A 21-year-old male presented with fever and abdominal pain 10 days after a minor fall. Imaging revealed pelvic abscess and possible hollow viscus perforation. Laparoscopy identified adhesion of omentum and sigmoid colon with abdominal wall covering a defect of 2x2 with 600 ml pus collection in extra peritoneal retro rectus space necessitating laparotomy. No bowel injury identified, and the patient initially improved. However persistent purulent discharge led to a repeat CECT revealing loculated abscess with air tracking to the skin. Re-exploration revealed sealed colonic perforation. Managed conservatively for a low output enterocutaneous fistula, showed significant improvement. 

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How to Cite
Gond, A. K., Saurabh, A., Sivastava, N. K., Kushwaha, P., & Kumar, S. (2025). Silent but Serious: A Case of Colonic Perforation Masquerading as a Persistent Retrorectus Abscess Post Blunt Abdominal Trauma. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 11(1), 1-4. Retrieved from https://surgical.medresearch.in/index.php/ijoso/article/view/283
Issue
Vol 11 No 1 (2025): Jan-Dec
Section
Case Report

Copyright (c) 2025 Author (s). Published by Siddharth Health Research and Social Welfare Society

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