tailieunhanh - báo cáo khoa học: "Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report | Bouliaris et al. Journal of Medical Case Reports 2011 5 507 http content 5 1 507 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma a case report 1 2 1 1 3 Konstantinos Bouliaris Dimos Karangelis Konstantinos Spanos Stylianos Germanos Evangelos Alexiou and Anargyros Giaglaras1 Abstract Introduction Abdominal trauma is a source of significant mortality and morbidity. Bowel injury as a result of blunt abdominal trauma is usually evident within hours or days of the accident. Case presentation A 38-year-old Caucasian Greek man presented with a subtle and delayed small bowel obstruction caused by a post-traumatic ileosigmoid fistula and ileal stricture four months after a road traffic accident. Conclusion Delayed occurrence of post-traumatic small bowel stricture and ileosigmoid fistula is an uncommon surgical emergency. General surgeons as well as emergency physicians should bear this manifestation in mind should a patient return to the hospital several weeks or even years after blunt abdominal trauma with symptoms or signs of bowel obstruction. Introduction The abdomen is the third most commonly injured body part following trauma 1 . In 85 of cases it is the result of blunt trauma 2 3 . Solid organs such as the liver and spleen are the most frequently injured injuries to the bowel or mesentery are rare. Although small bowel injury has been reported to be the third most common injury in blunt abdominal trauma BAT it was diagnosed in only of admissions after blunt injury. Only of patients had a small bowel perforation in a multi-institutional study 4 . In the absence of shock and peritonitis patients with BAT may be treated conservatively and observed with computerized tomography CT 5 . However on rare occasions such patients can present later on with symptoms and signs of small bowel obstruction or perforation 6-13 . We present a case of .