https://surgical.medresearch.in/index.php/ijoso/issue/feedSurgical Review: International Journal of Surgery, Trauma and Orthopedics2025-08-30T17:20:05+0530Mr Daulat Ramsupport@medresearch.inOpen Journal Systems<div id="journalDescription-6" class="journalDescription"> <p><em><strong>ISSN: <a href="https://portal.issn.org/resource/ISSN/2455-5436" target="_blank" rel="noopener">2455-5436 (Online)</a>, <a href="https://portal.issn.org/resource/ISSN/2456-9518" target="_blank" rel="noopener">2456-9518 (Print) </a></strong></em></p> <p><em><strong>RNI: MPENG/2017/70870</strong></em></p> </div>https://surgical.medresearch.in/index.php/ijoso/article/view/283Silent but Serious: A Case of Colonic Perforation Masquerading as a Persistent Retrorectus Abscess Post Blunt Abdominal Trauma2025-08-30T17:20:05+0530Ajay Kumar Gondajaykumargond48@gmail.comAmritanshu Saurabhajaykumargond48@gmail.comNiraj Kumar Sivastavaajaykumargond48@gmail.comPranabh Kushwahaajaykumargond48@gmail.comShirish Kumarajaykumargond48@gmail.com<p>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. </p>2025-08-30T00:00:00+0530Copyright (c) 2025 Author (s). Published by Siddharth Health Research and Social Welfare Society