Delayed Pneumatosis Intestinalis Induced by Blunt Trauma in a Strangulated Small Intestine
Journal of Acute Care Surgery
;
(2): 83-86, 2017.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ruptura Esplênica
/
Vasos Sanguíneos
/
Traumatismo por Reperfusão
/
Resultado do Tratamento
/
Estrogênios Conjugados (USP)
/
Diagnóstico
/
Hipotensão
/
Infarto
/
Perfuração Intestinal
/
Intestino Delgado
Tipo de estudo:
Estudo diagnóstico
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Acute Care Surgery
Ano de publicação:
2017
Tipo de documento:
Artigo
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