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Journal of Trauma and Injury 2013;26(4):319-322.
Traumatic Cervical Spinal Cord Injury Patient with Jejunal Perforation
Seung Je Go, Jeung Seuk Yoon, Jung Ho Yun
1Department of Surgery, Trauma Center of Dan-Kook University Hospital, Cheonan, Korea. dutheji77@naver.com
2Department of Neurosurgery of Dan-Kook University Hospital, Cheonan, Korea.
외상성 경부 척수 손상 환자에서 동반된 소장 천공 : 증례보고
고승제, 윤정석, 윤정호1
단국대학교 의과대학 단국대학교병원 권역외상센터 외과, 1신경외과
Received: 22 November 2013   • Revised: 19 December 2013   • Accepted: 19 December 2013
A 66 year-old woman had cervical spinal cord injury by an automobile. We performed emergency operation for partial quadriplegia. She recovered from motor weakness gradually, but complained of abdominal distension and mild dyspnea. A physical examination of her abdomen did not have tenderness and rebound tenderness. She underwent a decubitus view of chest X-ray due to aggravated dyspnea at postoperative 4 days. We detected free air gas of abdomen and immediately identified a cause of pneumoperitoneum by abdominal computed tomography. We performed an emergent laparotomy and confirmed a jejunal perforation. After an operation, she recovered well and is under rehabilitation.
Key Words: Cervical spinal cord injury; Physical examination; Jejunal perforation


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