Biomedical subjects
Publications and source records attributed to W L Grundill.
Bicycle accidents in 210 patients are analysed. Ages ranged from 1 to 59 years (mean 14.5 years) with a male predominance. In 52% of patients there was a head or facial injury, 6% being moderate to severe. Of the fractures 64% involved the upper limb, 32% being of the radius and ulna and 22% of the clavicle. The majority of abrasions and soft-tissue injuries involved the limbs.
A case of ruptured colon and massive faecal contamination of the peritoneal cavity after a difficult bowel movement is presented. A perforated peptic ulcer was suspected but a rupture of the rectosigmoid colon was found at operation. Surgical management included resection of the affected colon, proximal colostomy and closure of the distal end of the bowel. Definitions of spontaneous rupture and stercoral perforation of the colon are given, and the possible aetiological factors in and management of these rare cases are discussed.