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Mechanical small bowel obstruction following a blunt abdominal trauma: A case report
INTRODUCTION: Intestinal obstruction following abdominal trauma has previously been described. However, in most reported cases pathological finding was intestinal stenosis. PRESENTATION OF THE CASE: A 51-year-old male was admitted after a motor vehicle accident. Initial focused abdominal sonogram fo...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600941/ https://www.ncbi.nlm.nih.gov/pubmed/26566436 http://dx.doi.org/10.1016/j.amsu.2015.09.010 |
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author | Zirak-Schmidt, Samira El-Hussuna, Alaa |
author_facet | Zirak-Schmidt, Samira El-Hussuna, Alaa |
author_sort | Zirak-Schmidt, Samira |
collection | PubMed |
description | INTRODUCTION: Intestinal obstruction following abdominal trauma has previously been described. However, in most reported cases pathological finding was intestinal stenosis. PRESENTATION OF THE CASE: A 51-year-old male was admitted after a motor vehicle accident. Initial focused abdominal sonogram for trauma and enhanced computerized tomography were normal, however there was a fracture of the tibia. Three days later, he complained of abdominal pain, constipation, and vomiting. An exploratory laparotomy showed bleeding from the omentum and mechanical small bowel obstruction due to a fibrous band. DISCUSSION: The patient had prior abdominal surgery, but clinical and radiological findings indicate that the impact of the motor vehicle accident initiated his condition either by causing rotation of a bowel segment around the fibrous band, or by formation of a fibrous band secondary to minimal bleeding from the omentum. CONCLUSION: High index of suspicion of intestinal obstruction is mandatory in trauma patients presenting with complaints of abdominal pain, vomiting, and constipation despite uneventful CT scan. |
format | Online Article Text |
id | pubmed-4600941 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-46009412015-11-12 Mechanical small bowel obstruction following a blunt abdominal trauma: A case report Zirak-Schmidt, Samira El-Hussuna, Alaa Ann Med Surg (Lond) Case Report INTRODUCTION: Intestinal obstruction following abdominal trauma has previously been described. However, in most reported cases pathological finding was intestinal stenosis. PRESENTATION OF THE CASE: A 51-year-old male was admitted after a motor vehicle accident. Initial focused abdominal sonogram for trauma and enhanced computerized tomography were normal, however there was a fracture of the tibia. Three days later, he complained of abdominal pain, constipation, and vomiting. An exploratory laparotomy showed bleeding from the omentum and mechanical small bowel obstruction due to a fibrous band. DISCUSSION: The patient had prior abdominal surgery, but clinical and radiological findings indicate that the impact of the motor vehicle accident initiated his condition either by causing rotation of a bowel segment around the fibrous band, or by formation of a fibrous band secondary to minimal bleeding from the omentum. CONCLUSION: High index of suspicion of intestinal obstruction is mandatory in trauma patients presenting with complaints of abdominal pain, vomiting, and constipation despite uneventful CT scan. Elsevier 2015-09-26 /pmc/articles/PMC4600941/ /pubmed/26566436 http://dx.doi.org/10.1016/j.amsu.2015.09.010 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Zirak-Schmidt, Samira El-Hussuna, Alaa Mechanical small bowel obstruction following a blunt abdominal trauma: A case report |
title | Mechanical small bowel obstruction following a blunt abdominal trauma: A case report |
title_full | Mechanical small bowel obstruction following a blunt abdominal trauma: A case report |
title_fullStr | Mechanical small bowel obstruction following a blunt abdominal trauma: A case report |
title_full_unstemmed | Mechanical small bowel obstruction following a blunt abdominal trauma: A case report |
title_short | Mechanical small bowel obstruction following a blunt abdominal trauma: A case report |
title_sort | mechanical small bowel obstruction following a blunt abdominal trauma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600941/ https://www.ncbi.nlm.nih.gov/pubmed/26566436 http://dx.doi.org/10.1016/j.amsu.2015.09.010 |
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