California state journal of medicine 12/1919; 17(11):406.
Source: PubMed

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    ABSTRACT: Background: Medina Hospital, a Police Hospital in Mogadishu South, Somalia was closed after the civil war broke out in 1991. With the support of the International Committee of the Red Cross (ICRC), was reopened as community based hospital in 2000. The authors present their experience in the treatment of penetrating abdominal war wounds involving the colon in Medina Hospital. Methods: A retrospective descriptive study of civilian and military casualties with penetrating abdominal war injuries involving the colon, treated in Medina Hospital from June 2000 to June 2002 was undertaken. Results: A total of 3496 war wounded patients were treated in Medina Hospital during the period under review. Among them 950 presented with penetrating abdominal war wounds, with large bowel involvement in 430 of them. Initially, 237 (55%) cases of large bowel injury were treated with colostomy; 193 had primary colon closure without any significant increase in the complication rate. Conclusion: In war situations colostomy may be avoided by performing primary repair of the penetrating large bowel gunshot wounds.
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    ABSTRACT: A pancreatic fistula is the most common complication of pancreatic injury. Although spontaneous closure of pancreatic ductal disruption has been reported, surgical treatment is accepted as the single most carried-out intervention in major ductal injury. We report a case of pancreatic duct disruption due to a bullet injury managed successfully by endoscopic pancreatic duct stenting. A 28-year old male sustained a bullet injury leading to proximal pancreatic duct disruption with leakage of dye. After a month of unsuccessful conservative management, graded endoscopic pancreatic duct stenting was carried out, leading to closure of the leak. The patient has gained 15 kilograms of weight at one year of follow-up without any complications. This is probably the first case of successful endoscopic management of pancreatic duct disruption due to a bullet injury. In carefully selected patients, successful non-surgical management of traumatic pancreatic duct disruption is feasible.
    Full-text · Article · Feb 2009 · JOP: Journal of the pancreas