Related Experiment Video
Updated: Jul 2, 2025
04:26
Postoperative Ileus Murine Model
Published on: July 12, 2024
603
A 'traumatic' mechanical small bowel obstruction after blunt pelvic trauma
Sarah Kecman1, Sebastian Schindera2, Mark Hartel1
1Department of Surgery, Kantonspital Aarau, Tellstrasse 25, Aarau 5001, Switzerland.
Journal of Surgical Case Reports
|February 21, 2024
Summary
Traumatic abdominal wall hernia (TAWH) is rare, often caused by blunt trauma. This case highlights delayed ileus from TAWH due to an acetabular fracture, successfully treated with laparoscopic repair and fracture fixation.
Area of Science:
- Trauma Surgery
- Abdominal Wall Hernia Research
- Orthopaedic Surgery
Background:
- Traumatic abdominal wall hernia (TAWH) is an uncommon injury resulting from blunt force impact.
- TAWH can lead to serious complications, including bowel obstruction and intestinal ischemia.
- Acetabular fractures are typically treated by orthopaedic surgeons, with abdominal complications being rare.
Observation:
- A rare case of delayed mechanical ileus secondary to traumatic abdominal wall hernia is presented.
- The TAWH was associated with a pelvic acetabular fracture sustained from blunt trauma.
- The patient presented with symptoms of small bowel obstruction several weeks after the initial injury.
Findings:
- Laparoscopic repair of the peritoneal defect was successfully performed.
- The acetabular fracture was subsequently managed with standard orthopaedic surgical techniques.
- The patient experienced a full recovery with resolution of the ileus and hernia.
Implications:
- This case underscores the potential for delayed gastrointestinal complications from TAWH.
- Timely diagnosis and recognition of TAWH, even in the context of other major injuries, are crucial.
- Effective management requires close interdisciplinary collaboration between trauma surgeons and orthopaedic specialists.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
01:22Esophageal Perforation-I: Introduction
95
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
95
01:26Flail Chest-II
169
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
169
01:28Esophageal Perforation-II: Clinical Manifestations and Management
64
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
64