Delayed Pneumatosis Intestinalis Induced by Blunt Trauma in a Strangulated Small Intestine.
10.17479/jacs.2017.7.2.83
- Author:
Dongsub NOH
1
;
Hyun Min CHO
;
Chan Kyu LEE
;
Seon Hee KIM
;
Kwang Hee YEO
Author Information
1. Department of Trauma Surgery, Eulji University Hospital, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Blunt trauma;
Pneumatosis intestinalis;
Strangulation;
Fall down;
Small bowel
- MeSH:
Blood Vessels;
Diagnosis;
Estrogens, Conjugated (USP);
Female;
Humans;
Hypotension;
Infarction;
Intestinal Perforation;
Intestine, Small*;
Intestines;
Laparotomy;
Middle Aged;
Reperfusion Injury;
Splenic Rupture;
Treatment Outcome
- From:
Journal of Acute Care Surgery
2017;7(2):83-86
- CountryRepublic of Korea
- Language:English
-
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.
