Ileal Stenosis Occurred 3 Months after Blunt Abdominal Trauma.
10.4166/kjg.2011.57.6.370
- Author:
Gun Hi KANG
1
;
Tae Joo JEON
;
Dong Dae SEO
;
Tae Hoon OH
;
Soohyun KIM
;
Hyun Sun CHO
;
Byung Noe BAE
;
Jung Yeon KIM
Author Information
1. Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. drjtj@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Blunt abdominal trauma;
Stenosis
- From:The Korean Journal of Gastroenterology
2011;57(6):370-373
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of ileal stenosis with delayed presentation 3 months after car accident. Ileal stenosis after blunt abdominal trauma is a rare clinical entity. We present CT and small bowel series 3 months after trauma. Image showed segmental thickening of intestinal wall and proximal bowel dilation. At surgery, a stenotic bowel loop was adjacent to a fibrotic mesentery. Histological examination showed ulcers, inflammatory cells and fibroblasts infiltrated to the muscularis mucosae, submucosa, and mesentery. The most likely cause, supported by most authors, implicates an injury to the mesentery. Post-traumatic ischemic bowel stenosis may result from even small tears and contusions of mesentery. Posttraumatic intestinal stenosis should be included in the differential diagnosis in a patient with a history of blunt abdominal trauma and signs of intestinal obstruction.
