Stenosis of Ileum Due to Mesenteric Laceration

Urban, Clifford H.

doi:10.1001/jama.1968.03140150082037

Cited by 6 publications

(4 citation statements)

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“…However, delayed small bowel obstruction after blunt abdominal trauma is a rare clinical entity, comprising less than 1 of nonpenetrating trauma admissions in some institutions 11 . Patients with this condition have a delayed onset of obstructive symptoms, and diagnosis is often dif cult [1][2][3][4][5][6][7][8] . Therefore, patients should be questioned carefully about previous blunt trauma.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Ischemic Ileal Obstruction Secondary to Seat Belt Trauma

Umemoto

Sakata

Shinmura

et al. 2012

Showa Univ J Med Sci

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: We report a case of seat belt trauma with delayed ischemic ileal obstruction. A 62-year-old woman presented with symptoms and signs of bowel obstruction three weeks after an automobile traffic accident. A plain radiograph of the abdomen showed dilated small bowel loops with air fluid levels that were consistent with intestinal obstruction. Enhanced computed tomography clearly demonstrated a stenotic ileal loop with mural thickening that was associated with a mesenteric hematoma. Upper endoscopy revealed an ulcer of the ischemic ileal obstruction. The patient underwent resection of the stenotic ileal loop by single-incision laparoscopic surgery. The stenotic ileal loop was located 120 cm oral side from the terminal ileum. In gross nding, the wall of stenotic ileal loop was thickened and the adjacent mesentery was shortened with a hematoma. The mucosa of the ischemic ileal obstruction showed ulcerative changes. The abnormal ileal loop, which was 15 cm in length, was resected. Postoperative recovery was uneventful.

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Section: Discussionmentioning

confidence: 99%

“…However, posttraumatic intestinal stenosis is characterized by a delayed onset of obstructive symptoms and diagnosis is often dif cult [1][2][3][4][5][6][7][8] . We report a case of ischemic ileal obstruction secondary to seat belt trauma that was associated with mesenteric hematoma.…”

Section: Introductionmentioning

confidence: 99%

A Case of Ischemic Ileal Obstruction Secondary to Seat Belt Trauma

Umemoto

Sakata

Shinmura

et al. 2012

Showa Univ J Med Sci

View full text Add to dashboard Cite

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“…Laceration of the mesentery after blunt abdominal trauma which induces vascular insufficiency can lead to stenosis of the ileum. 3 This is not a common injury and only a few cases have been reported. 1 Damage to the small bowel and mesentery which may present with late complications is often difficult to diagnose by routine laboratory studies and clinical examination.…”

Section: Discussionmentioning

confidence: 99%

“…Laceration of the mesentery after blunt abdominal trauma which induces vascular insufficiency can lead to stenosis of the ileum 3 . This is not a common injury and only a few cases have been reported 1 .…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Stenosis From Blunt Abdominal Trauma

et al. 1997

Int J Clinical Practice

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Prediction of the delayed complications of intestinal and mesenteric injuries following experimental blunt abdominal trauma

Paterson-Brown

Francis

Whawell

et al. 1990

Journal of British Surgery

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Injuries to the intestine and mesentery are often found in patients undergoing laparotomy for blunt abdominal trauma. Although treatment of perforations is relatively straightforward, the same is not true for contusions. Few guidelines exist at present to aid the surgeon in deciding which injuries require resection in order to avoid the complications of delayed perforation and late stricture formation. The natural history of these non-perforating intestinal and mesenteric injuries has been examined in an experimental model to identify possible criteria on which future management can be based. In the immediate postinjury period peristalsis and local mesenteric pulsation were absent in the majority of injuries which went on to full recovery and these observations are thus of little predictive value in predicting outcome. The initial size of contusion (length of contusion along longitudinal axis of bowel) relative to bowel wall circumference (BWC) was related to complications as follows: contusion less than BWC (n = 47)--one complication; contusion greater than BWC (n = 8)--three complications (P = 0.02). Similarly, six mesenteric injuries which produced an initial ischaemia (assessed by fluorescein) less than twice the BWC did not result in any complications, compared with four complications which occurred in ten cases when the initial ischaemia was greater than twice the BWC. These results go some way towards providing a better understanding of these injuries and in turn may help the emergency surgeon in deciding which injuries require resection.

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Stenosis of Ileum Due to Mesenteric Laceration

Cited by 6 publications

References 0 publications

A Case of Ischemic Ileal Obstruction Secondary to Seat Belt Trauma

A Case of Ischemic Ileal Obstruction Secondary to Seat Belt Trauma

Small Bowel Stenosis From Blunt Abdominal Trauma

Prediction of the delayed complications of intestinal and mesenteric injuries following experimental blunt abdominal trauma

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