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Posttraumatic ischemic stenosis of the small bowel
Archives of Surgery (Chicago, Ill. : 1960)
|September 1, 1980
Summary
Blunt abdominal trauma can cause delayed small-bowel obstruction due to mesenteric rents leading to stenosis. Surgical resection of the affected segment effectively cures these posttraumatic strictures.
Area of Science:
- Gastroenterology
- Trauma Surgery
- Surgical Pathology
Background:
- Blunt abdominal trauma can lead to delayed complications.
- Small-bowel obstruction is a serious condition requiring prompt diagnosis and management.
Observation:
- Three patients presented with chronic, incomplete small-bowel obstruction weeks after blunt abdominal trauma.
- Surgical findings revealed a stenotic small-bowel segment adjacent to a mesenteric rent, causing devascularization and ulceration.
Findings:
- The mesenteric rent led to devascularization, resulting in small-bowel stenosis and mucosal ulceration.
- Resection of the stenotic segment successfully treated the obstruction in all three patients.
Implications:
- Posttraumatic small-bowel strictures should be considered in patients with delayed obstruction after blunt abdominal trauma, especially if laparotomy was not initially performed.
- Early surgical intervention may be necessary for managing these specific types of posttraumatic bowel strictures.