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Related Experiment Videos

Small bowel stricture following abdominal trauma.

G H Welch, J R Anderson

    Postgraduate Medical Journal
    |December 1, 1985
    PubMed
    Summary

    Blunt abdominal trauma from lap seat belts can cause delayed small bowel strictures due to overlooked perforations. Surgical resection of the affected small bowel leads to a full recovery.

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    Area of Science:

    • Gastroenterology
    • Trauma Surgery
    • Surgical Pathology

    Background:

    • Blunt abdominal trauma, particularly from lap seat belts, presents diagnostic challenges.
    • Delayed complications of abdominal trauma require thorough clinical evaluation.

    Observation:

    • A patient developed a small bowel stricture two months post-blunt abdominal trauma.
    • Clinical examination at the time of injury did not identify a small bowel perforation.
    • An abscess was discovered around the terminal ileum during surgical intervention.

    Findings:

    • The small bowel stricture was attributed to a likely missed perforation from the initial trauma.
    • Surgical resection of the strictured segment of the small bowel was performed.
    • The patient experienced an uncomplicated recovery after the surgery.

    Implications:

    • This case highlights the importance of considering delayed gastrointestinal complications after blunt abdominal trauma.
    • Subtle perforations may lead to significant morbidity if not promptly diagnosed and managed.
    • Early surgical intervention for small bowel strictures secondary to trauma can result in favorable outcomes.

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