Delayed presentation of bowel obstruction after abdominal blunt trauma

Delayed presentation of bowel obstruction after abdominal blunt trauma

Blog Article

Blunt abdominal trauma is a rare cause of small bowel obstruction thought to arise from either a sealed perforation of the here small bowel or mesenteric injury resulting in adhesions.A 55-year-old gentleman presented with symptoms and signs of small bowel obstruction and a history of blunt abdominal trauma 14 months previously.Abdominal computed tomography showed a transition zone at the terminal ilium with proximal dilatation indicative of obstruction.At surgery, he had adhesions involving the terminal ilium with shortening and fibrosis of the supplying mesentery.

Patients with a history of blunt abdominal trauma presenting with abdominal symptoms must be investigated to rule out bowel obstruction, with a low rumchata proof threshold for surgical intervention.