Delayed Pneumatosis Intestinalis Induced by Blunt Trauma in a Strangulated Small Intestine
Journal of Acute Care Surgery
;
(2): 83-86, 2017.
Article
Dans Anglais
| WPRIM
| ID: wpr-648607
ABSTRACT
An ischemia-reperfusion injury of the intestine due to blunt trauma is very rare. Low blood flow can result in an incarceration and an ischemia-reperfusion injury of the small intestine. A 63-year-old woman fell, producing a splenic rupture. Despite the successful angio-embolization of the splenic rupture, the patient continued to suffer from hypotension. During laparotomy to identify the bowel injury, no intestinal perforation was found. However, we found a hemorrhagic infarction of the small intestine with congestion of the submucosal blood vessels. The part of bowel with the hemorrhagic infarction was resected and reconstructed with a jejuno-colic anastomosis. After surgery, she recovered from the trauma and was discharged without complications. We present this ischemia-reperfusion injury of the intestine due to blunt trauma. Meticulous examination and computed tomography scan is mandatory for diagnosis and assessment of treatment outcome.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Rupture de rate
/
Vaisseaux sanguins
/
Lésion d'ischémie-reperfusion
/
Résultat thérapeutique
/
Oestrogènes conjugués (USP)
/
Diagnostic
/
Hypotension artérielle
/
Infarctus
/
Perforation intestinale
/
Intestin grêle
Type d'étude:
Etude diagnostique
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Journal of Acute Care Surgery
Année:
2017
Type:
Article
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