Small bowel stenosis following blunt abdominal trauma: a case report.

Sheela Prince,Osama Mohemmed Alzoabi,Hajer Abdullah Saleh Busharar

doi:10.1002/ccr3.1176

Abstract

Key Clinical MessageBlunt abdominal trauma is a rare case of intestinal obstruction, and only few cases have been reported in the world literature. Stenotic intestinal obstruction following blunt abdominal trauma is a very rare complication. This case highlights the need for clinical suspicion serial clinical assessment and radiological evaluation and the need for early surgery in patients presenting with abdominal symptoms following blunt abdominal trauma.

Highlights

Motor vehicle accidents have increasingly became the major cause of blunt abdominal injuries [1], the pattern, and mechanism of which has changed in recent years largely due to seat belt legislation [1]
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CT scan abdomen was showing dilated small bowel loops involving proximal jejunum and mid ileum with a zone of transition noted in the distal ileum suggestive of intestinal obstruction (Fig. 1)

Summary

Introduction

Motor vehicle accidents have increasingly became the major cause of blunt abdominal injuries [1], the pattern, and mechanism of which has changed in recent years largely due to seat belt legislation [1]. After 2 weeks, he developed increased intra-abdominal pressure, and laparoscopic drainage of 5 L of bile-stained fluid was performed and drain was inserted He underwent nailing of left tibia and discharged in good general condition after a follow-up CT abdomen after 2 weeks. On 13.4.2015, patient presented to the Accident and Emergency with 5 days history of abdominal pain, constipation, and nausea. On physical examination, his vital signs were normal. Small bowel stenosis following blunt abdominal trauma causing Intestinal obstruction -A rare case report. CT scan abdomen was showing dilated small bowel loops involving proximal jejunum and mid ileum with a zone of transition noted in the distal ileum suggestive of intestinal obstruction (Fig. 1).

Discussion

Conclusion