Colorectal war injuries

During the war in Croatia (1991-1995), 851 war casualties were treated by the surgical teams of Rijeka Clinical Hospital. Among them, 66 patients (7.8%) had colon and/or rectum injuries, usually combined with trauma of other abdominal organs, most often jejunum and ileum (24.2%). Regarding the site of injury, right and sigmoid colon were the most frequently traumatized areas (30.3% and 31.8%, respectively). All patients received surgical treatment within 3 hours from wounding. In 89% of patients, relieving colostomy was formed after the resection of the damaged part of the intestine; 11% of patients were treated with primary resection or sutures without colostomy. The mortality rate of 3% (2 patients) was caused by mutilating multiple organ abdominal trauma combined with massive brain injury.