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Updated: May 28, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report
Konstantinos Bouliaris1, Dimos Karangelis, Konstantinos Spanos
1Department of General Surgery, 404 Military Hospital Larissa, Greece. dimoskaragel@yahoo.gr.
Introduction:
Abdominal trauma is a source of significant mortality and morbidity. Bowel injury as a result of blunt abdominal trauma is usually evident within hours or days of the accident.
Case Presentation:
A 38-year-old Caucasian Greek man presented with a subtle and delayed small bowel obstruction caused by a post-traumatic ileosigmoid fistula and ileal stricture four months after a road traffic accident.
Conclusion:
Delayed occurrence of post-traumatic small bowel stricture and ileosigmoid fistula is an uncommon surgical emergency. General surgeons as well as emergency physicians should bear this manifestation in mind should a patient return to the hospital several weeks or even years after blunt abdominal trauma with symptoms or signs of bowel obstruction.
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