RESUMO
Two cases of blunt mesenteric injury were presented. In both cases, contrast-enhanced CT of the abdomen showed contrast extravasation in the intraperitoneal cavity (indicating injury of the superior mesenteric artery), bowel Wall thickening, hemoperitoneum and mesenteric hematoma. Under impression of mesenteric injury, emergency laparotomy was performed in both of the patients: two lacerations of the jejunal mesentery were identified in patient I and one laceration of the ileal mesentery was found in patient 2. Bowel resection was carried out in both of the patients. The course was uneventful during the 12 days and 11 days of hospitalization for patients 1 and 2 respectively
RESUMO
A 77-year-old male farmer sustained severe abdominal cramping pain for one hour. Contrast-enhanced multidetector computed tomography (MDCT) showed a 5.2 cm, oval lesion with interior mottled gas and slightly hyperdense component in the small bowel loop causing distension of the proximal small bowel loop. CT diagnosis of a bezoar in the small bowel causing bowel obstruction was made. Exploratory laparotomy disclosed a foreign body of soft texture in the jejunum located at 150 cm from the ligament of Treitz. A whole, undigested shiitake mushroom was noted after incision of the bowel. The patient had an uneventful course during the 9 days of hospitalization. The patient had recalled that he did not have any teeth and did not use dentures during eating, and accidentally swallowed the shiitake mushroom 2 days before the incident occurred