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Expectant management of traumatic intussusception.

Kate Swift¹, Krish Kulendran¹

¹Department of Surgery, Cairns Base Hospital, Cairns City, Queensland, Australia.

Journal of Surgical Case Reports

|February 11, 2021

Summary

Traumatic intussusception from mesenteric hematomas can be managed expectantly in stable patients. This approach avoids surgery, offering a less invasive option for specific blunt trauma cases.

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Area of Science:

Trauma Surgery
Abdominal Imaging
Surgical Case Reports

Background:

Mesenteric injuries and traumatic intussusception are uncommon but serious consequences of blunt abdominal trauma.
Current literature advocates for surgical intervention in all such cases for diagnosis and treatment.
This approach is based on the potential for life-threatening complications.

Observation:

A case of a stable patient with blunt trauma is presented.
The patient exhibited signs of small bowel intussusception.
Imaging revealed a mesenteric hematoma acting as a lead point.

Findings:

The patient was managed non-operatively with expectant observation.
The mesenteric hematoma and intussusception resolved without surgical intervention.
This demonstrates successful expectant management in a specific scenario.

Implications:

Expectant management may be a viable alternative to immediate surgery for select stable patients with traumatic intussusception.
This challenges the traditional surgical dogma for these rare injuries.
Further research could explore criteria for non-operative management in traumatic mesenteric hematomas causing intussusception.