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Updated: May 21, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Delayed small bowel obstruction due to blunt abdominal trauma with mesenteric injury: a case report
Francesco Belia1, Vincenzo Schiavone2, Gianluca Bongiorno3
1Digestive Surgery Clinical and Research Unit, Fondazione Policlinico Universitario Campus Bio-Medico, Via Àlvaro del Portillo, 200, 00128, Roma, Italy.
Abstract:
Small bowel obstruction (SBO) following blunt abdominal trauma (BAT) is an uncommon but important delayed complication, usually resulting from ischemic or fibrotic changes secondary to mesenteric injury. A 52-year-old male presented 2 months after BAT with a 5-day history of progressive bowel obstruction. Computed tomography imaging showed a 10-cm distal ileal stenosis with mural thickening and mesenteric hyperemia. Exploratory laparotomy revealed a 4-cm ileal thickening and mesenteric laceration. A 20-cm ileal resection with latero-lateral isoperistaltic anastomosis was performed. Histology confirmed ischemic injury secondary to local trauma. This case illustrates a rare presentation of delayed SBO due to post-traumatic mesenteric ischemia. Clinicians should maintain a high index of suspicion in patients with prior BAT and evolving gastrointestinal symptoms to ensure timely diagnosis and management.
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