title: Double ischemic ileal stenosis secondary to mesenteric injury after blunt abdominal trauma.
abstract: The authors describe a rare case in which blunt abdominal trauma resulted in mesenteric injury with delayed double ischemic ileal stenosis. Abdominal computed tomography demonstrated stenotic ileal loop with mural thickening. At surgery, a double stenotic bowel loop was found adjacent to a healed defect in the mesentery. Histological examination of the two resected segments showed fibrotic and ischemic lesions within the mesentery. Ischemic intestinal stenosis from mesenteric injury should be considered in the differential diagnosis in patients suffering from intestinal occlusion with a history of blunt abdominal trauma.
authors.affiliation: Service de Chirurgie Viscerale, Digestive et Endocrinienne, CHU Reims, Hopital Robert Debre, Avenue General Koenig, F-51092 Reims cedex, France. valeriebougard@hotmail.com
authors.forename: Valérie
authors.initials: V
authors.lastname: Bougard
authors.forename: Claude
authors.initials: C
authors.lastname: Avisse
authors.forename: Martine
authors.initials: M
authors.lastname: Patey
authors.forename: Denis
authors.initials: D
authors.lastname: Germain
authors.forename: Nathalie
authors.initials: N
authors.lastname: Levy-Chazal
authors.forename: Jean-Francois
authors.initials: JF
authors.lastname: Delattre
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D003251:Constriction, Pathologic; D005260:Female; D005355:Fibrosis; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007511:Ischemia / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications*