Short-bowel syndrome associated with subtotal necrosis of small intestine after rectal trauma.
We report on a 4-year-old girl who experienced rectal trauma during swimming, sitting on an uncovered draining valve in the swimming pool. This resulted in a powerful suction effect on her rectum, followed by rupture of the sigmoid colon and evisceration of the small intestine. Laparotomy showed a near complete necrosis of the small bowel because of thrombotic lesions and wall lacerations of the superior mesenteric artery (SMA). A subtotal bowel removal associated with a jejuno-ileostoma was carried out, a total length of about 35 cm of the small intestine could be left in situ. Parenteral nutrition was stopped after eight months. At the moment defecation takes place 2-3 times a day, growth and weight gain are quite normal.
Pomberger
G
G
Department of Surgery, University of Vienna, Medical School, Austria/Europe.
Hallwirth
U
U
Pumberger
W
W
Horcher
E
E
D000059:Accidents; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply / Q000473:pathology*; D008638:Mesenteric Arteries; D009336:Necrosis; D012005:Rectal Prolapse / Q000150:complications* / Q000209:etiology*; D012007:Rectum / Q000293:injuries*; D012778:Short Bowel Syndrome / Q000209:etiology*; D013152:Splanchnic Circulation; D013550:Swimming