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Posttraumatic intestinal stenosis: radiographic and sonographic appearance
N Loberant1, S Szvalb, M Herskovits
1Department of Radiology, Western Galilee Hospital, Nahariya, Israel.
European Radiology
|January 1, 1997
Summary
Posttraumatic intestinal stenosis is a rare complication of blunt abdominal trauma. This case highlights imaging findings, including CT and sonography, of this uncommon condition.
Area of Science:
- Gastroenterology
- Radiology
- Trauma Surgery
Background:
- Posttraumatic intestinal stenosis (PIS) is an infrequent complication following blunt abdominal trauma.
- It results from mesenteric and bowel wall injury leading to focal ischemic stricture.
Observation:
- This case report details imaging findings of PIS, including CT scans during trauma and barium meal/abdominal sonography during a later admission.
- The resected bowel segment revealed transmural infarct and associated posttraumatic changes in the adjacent peritoneal fat.
Findings:
- This is the first report to present both initial trauma imaging and subsequent sonographic views of the narrowed bowel loop in PIS.
- The findings underscore the diagnostic utility of imaging in identifying PIS.
Implications:
- Posttraumatic intestinal stenosis should be considered in the differential diagnosis for patients presenting with a narrowed bowel loop and a history of abdominal trauma.
- Early recognition and diagnosis through advanced imaging can improve patient outcomes.