Post-traumatic small-bowel stricture: a case report.
The use of lap seat belts has recently been recognized as a mechanism of blunt injury to the small bowel. Patients usually present immediately after injury and require urgent laparotomy. An unusual case of delayed small-bowel stricture after conservative management of an injury resulting from blunt trauma is reported. A 37-year-old woman involved in a high-speed motor vehicle accident was managed in hospital by observation. She had abdominal distension and pain, which gradually decreased and allowed slow introduction of a liquid diet. She was discharged from hospital but returned 6 weeks after injury with pain, abdominal distension, vomiting and obstipation. Stricture of an 8-cm segment of distal jejunum was found. Resection of the involved segment with primary anastomosis was curative.
Law
C H
CH
Department of Surgery, Sunnybrook Health Science Centre, University of Toronto, Toronto, Ont.
Brenneman
F D
FD
Rizoli
S B
SB
Boulanger
B R
BR
Hanna
S S
SS
D000328:Adult; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D012622:Seat Belts / Q000009:adverse effects*; D014949:Wounds, Nonpenetrating / Q000209:etiology*