World J Clin Med Case Rep | Volume 2, Issue 2 | Case Report | Open Access
Walker ML*
Surgical Health Collective, 1691 Phoenix Boulevard, Atlanta, Georgia
*Correspondance to: Mark L Walker
Fulltext PDFA 60-year-old man with a history of a previous colon resection presented after a motor vehicle collision. He was hypotensive in the field. A systolic pressure of 58 was noted on admission to the trauma bay. The remaining vital signs revealed a pulse of 99 and respirations 18. The temperature was 98 degrees. The patient was alert with a GCS of 15. He was given 2 liters of crystalloids and his systolic pressure increased to 100. His initial hemoglobin was 12.3 with hematocrit of 37. The initial base deficit was -12 and a venous lactate was 3.3. Work up revealed a left femur fracture, a right tibial plateau fracture and right radius and ulna fractures. An abdominal CT revealed a possible small bowel injury and the patient was taken to the operating room for exploration. The operative findings included small bowel injury and blunt colon injuries requiring jejunal resection and a primary anastomosis along with a segmental colon resection and end-colostomy. The left femur fracture was fixed along with the radius and ulna fractures at a separate operative intervention.
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Walker ML. Critical Illness Corticosteroid Insufficiency after Blunt Abdominal Trauma: A Case Report. World J Clin Med Case Rep. 2024; 2(2): 1013..