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Related Experiment Videos

Intussusception following abdominal trauma.

A Duncan1, T F Phillips, S J Sclafani

  • 1Kings County Hospital Center, SUNY Health Sciences Center, Brooklyn 11203.

The Journal of Trauma
|November 1, 1987
PubMed
Summary
This summary is machine-generated.

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Intussusception unexpectedly causes early intestinal obstruction in trauma patients post-laparotomy. Early diagnosis with CT scan and manual reduction offer an excellent prognosis.

Area of Science:

  • Trauma Surgery
  • Gastrointestinal Surgery

Background:

  • Intestinal obstruction is a common complication following abdominal trauma.
  • Postoperative intussusception is a rare but serious cause of obstruction.

Purpose of the Study:

  • To investigate the incidence and characteristics of intussusception as a cause of intestinal obstruction in trauma patients.
  • To evaluate diagnostic methods and treatment outcomes for post-laparotomy intussusception.

Main Methods:

  • Retrospective chart review of 21 trauma patients operated on for intestinal obstruction between 1983-1985.
  • Analysis of patient demographics, injury mechanisms, intraoperative findings, and postoperative outcomes.

Main Results:

  • Six patients (28.6%) developed intussusception post-laparotomy.

Related Experiment Videos

  • All affected patients were young males; injuries included gunshot, stab, and blunt trauma.
  • Common jejunojejunal intussusception; diagnosis aided by CT scan in two cases.
  • Manual reduction was successful in all cases with no recurrence or complications.

    • Conclusions:

    • Intussusception occurs with significant frequency as a cause of early postoperative intestinal obstruction in trauma patients.
    • CT scan can aid in preoperative diagnosis.
    • Surgical reduction offers an excellent prognosis and low recurrence rate.