Small bowel stenosis after blunt abdominal trauma: a case report
Abstract Background Small bowel stenosis after blunt abdominal trauma is relatively rare, and progression from trauma to bowel stenosis might sometimes be delayed. Herein, we report the case of a patient who was diagnosed with small bowel stenosis relatively early and received laparoscopic surgery....
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| Language: | English |
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Japan Surgical Society
2020-05-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00874-1 |
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| author | Kazushi Hara Manabu Yamamoto Teruhisa Sakamoto Ken Sugezawa Chihiro Uejima Akimitsu Tanio Yoichiro Tada Takehiko Hanaki Kozo Miyatani Joji Watanabe Kyoichi Kihara Naruo Tokuyasu Shuichi Takano Soichiro Honjo Yoshiyuki Fujiwara |
| author_facet | Kazushi Hara Manabu Yamamoto Teruhisa Sakamoto Ken Sugezawa Chihiro Uejima Akimitsu Tanio Yoichiro Tada Takehiko Hanaki Kozo Miyatani Joji Watanabe Kyoichi Kihara Naruo Tokuyasu Shuichi Takano Soichiro Honjo Yoshiyuki Fujiwara |
| author_sort | Kazushi Hara |
| collection | DOAJ |
| description | Abstract Background Small bowel stenosis after blunt abdominal trauma is relatively rare, and progression from trauma to bowel stenosis might sometimes be delayed. Herein, we report the case of a patient who was diagnosed with small bowel stenosis relatively early and received laparoscopic surgery. Case presentation An 18-year-old Japanese male was in a traffic accident and was urgently transported to our hospital. On arrival, he was admitted with right kidney and right adrenal injury and abdominal aortic aneurysm. On hospital day 13, he vomited during conservative treatment without surgery, and computed tomography revealed small bowel stenosis and dilatation of the oral-side small bowel. No improvement with the ileus tube occurred, and he received laparoscopic surgery on hospital day 21. Briefly, the abdominal cavity was observed with a laparoscope. The mesentery was congested, scarring around the stenotic small bowel regions was present, and three stenotic regions were observed 40–50 cm from the Treitz ligament. The patient received partial resection and anastomosis of the small bowel. The postoperative course was stable, and he was discharged on postoperative day eight. Conclusions Most cases of bowel stenosis after abdominal trauma are irreversible and usually require surgical treatment. Therefore, small bowel stenosis should be considered in patients with abdominal symptoms after blunt abdominal trauma. |
| format | Article |
| id | doaj-art-4a6d2384c08643acb09c28c5f84d137e |
| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-05-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-4a6d2384c08643acb09c28c5f84d137e2025-08-02T07:10:44ZengJapan Surgical SocietySurgical Case Reports2198-77932020-05-01611510.1186/s40792-020-00874-1Small bowel stenosis after blunt abdominal trauma: a case reportKazushi Hara0Manabu Yamamoto1Teruhisa Sakamoto2Ken Sugezawa3Chihiro Uejima4Akimitsu Tanio5Yoichiro Tada6Takehiko Hanaki7Kozo Miyatani8Joji Watanabe9Kyoichi Kihara10Naruo Tokuyasu11Shuichi Takano12Soichiro Honjo13Yoshiyuki Fujiwara14Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineDivision of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of MedicineAbstract Background Small bowel stenosis after blunt abdominal trauma is relatively rare, and progression from trauma to bowel stenosis might sometimes be delayed. Herein, we report the case of a patient who was diagnosed with small bowel stenosis relatively early and received laparoscopic surgery. Case presentation An 18-year-old Japanese male was in a traffic accident and was urgently transported to our hospital. On arrival, he was admitted with right kidney and right adrenal injury and abdominal aortic aneurysm. On hospital day 13, he vomited during conservative treatment without surgery, and computed tomography revealed small bowel stenosis and dilatation of the oral-side small bowel. No improvement with the ileus tube occurred, and he received laparoscopic surgery on hospital day 21. Briefly, the abdominal cavity was observed with a laparoscope. The mesentery was congested, scarring around the stenotic small bowel regions was present, and three stenotic regions were observed 40–50 cm from the Treitz ligament. The patient received partial resection and anastomosis of the small bowel. The postoperative course was stable, and he was discharged on postoperative day eight. Conclusions Most cases of bowel stenosis after abdominal trauma are irreversible and usually require surgical treatment. Therefore, small bowel stenosis should be considered in patients with abdominal symptoms after blunt abdominal trauma.http://link.springer.com/article/10.1186/s40792-020-00874-1Blunt abdominal traumaIleusLaparoscopic surgerySmall bowel stenosis |
| spellingShingle | Kazushi Hara Manabu Yamamoto Teruhisa Sakamoto Ken Sugezawa Chihiro Uejima Akimitsu Tanio Yoichiro Tada Takehiko Hanaki Kozo Miyatani Joji Watanabe Kyoichi Kihara Naruo Tokuyasu Shuichi Takano Soichiro Honjo Yoshiyuki Fujiwara Small bowel stenosis after blunt abdominal trauma: a case report Surgical Case Reports Blunt abdominal trauma Ileus Laparoscopic surgery Small bowel stenosis |
| title | Small bowel stenosis after blunt abdominal trauma: a case report |
| title_full | Small bowel stenosis after blunt abdominal trauma: a case report |
| title_fullStr | Small bowel stenosis after blunt abdominal trauma: a case report |
| title_full_unstemmed | Small bowel stenosis after blunt abdominal trauma: a case report |
| title_short | Small bowel stenosis after blunt abdominal trauma: a case report |
| title_sort | small bowel stenosis after blunt abdominal trauma a case report |
| topic | Blunt abdominal trauma Ileus Laparoscopic surgery Small bowel stenosis |
| url | http://link.springer.com/article/10.1186/s40792-020-00874-1 |
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