Abstract
BackgroundDelayed bowel obstruction due to seat belt injury is extremely rare. The delayed onset of nonspecific symptoms makes a timely diagnosis difficult. A deep understanding of the characteristics of this condition is helpful for early diagnosis and treatment.Case presentationA 39-year-old male was transferred to our hospital from another hospital complaints of progressive abdominal distension and severe weakness. In the previous hospital, he was diagnosed with “adult megacolon” and was recommended for surgical treatment. In our hospital, he was diagnosed with delayed bowel obstruction due to seat belt injury and underwent surgical intervention. Following laparoscopic adhesiolysis and resection of the narrow small intestine, his symptoms improved rapidly, and he was discharged.ConclusionDelayed bowel obstruction due to seat belt injury may present clinical symptoms any time after the injury. Imaging examination, ileus tube and small colonoscopy may provide us with valuable cues for the diagnosis and treatment of delayed bowel obstruction, and laparoscopy may be an alternative approach in surgical intervention.
Highlights
Delayed bowel obstruction due to seat belt injury is extremely rare
Ileus tube and small colonoscopy may provide us with valuable cues for the diagnosis and treatment of delayed bowel obstruction, and laparoscopy may be an alternative approach in surgical intervention
Core tip We reported a rare case of delayed small bowel obstruction due to seat belt injury
Summary
Delayed bowel obstruction due to seat belt injury may present clinical symptoms any time after the injury. Core tip We reported a rare case of delayed small bowel obstruction due to seat belt injury. Based on the experience in this case, we suggest that delayed bowel obstruction due to seat belt injury may present clinical symptoms any time after the injury. Ileus tube and small colonoscopy may provide valuable cues for the diagnosis and treatment of delayed bowel obstruction, and laparoscopy may be an alternative approach in surgical intervention
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