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Updated: May 8, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Atypical abdominal pain: post-traumatic transverse colon stricture
Raluca Rotar1, Raphael Uwechue, Kishore Kumar Sasapu
1Department of General Surgery, Diana, Princess of Wales Hospital, Grimsby, Grimsby, NE Lincolnshire, UK. raluca.rotar@gmail.com
Abstract:
A driver presented to the emergency department 1 day after an accident driving his excavator with abdominal pain and vomiting. He was admitted to the surgical ward 2 days later, after reattending. A CT scan revealed wall thickening and oedema in the transverse colon. This was supported by a subsequent CT virtual colonoscopy which raised the suspicion of neoplasia. A follow-up colonoscopy was not carried further than the transverse colon due to an indurated, tight stricture. Biopsies from that area showed ulceration and inflammatory changes non-specific for ischaemia, drug-induced changes or inflammatory bowel disease. As a consequence of the subocclusive symptoms and the possibility of a neoplastic diagnosis, a laparoscopic-assisted transverse colectomy was performed. The histology of the resected segment revealed post-traumatic inflammation and fibrosis with no evidence of neoplasia.
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