Double ischemic ileal stenosis secondary to mesenteric injury after blunt abdominal trauma.
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.
Bougard
Valérie
V
Service de Chirurgie Viscerale, Digestive et Endocrinienne, CHU Reims, Hopital Robert Debre, Avenue General Koenig, F-51092 Reims cedex, France. valeriebougard@hotmail.com
Avisse
Claude
C
Patey
Martine
M
Germain
Denis
D
Levy-Chazal
Nathalie
N
Delattre
Jean-Francois
JF
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*