title: Atypical abdominal pain: post-traumatic transverse colon stricture.
abstract: A driver presented to the emergency department 1 day after an accident driving his excavator with abdominal pain and vomiting. He was admitted to the surgical ward 2 days later, after reattending. A CT scan revealed wall thickening and oedema in the transverse colon. This was supported by a subsequent CT virtual colonoscopy which raised the suspicion of neoplasia. A follow-up colonoscopy was not carried further than the transverse colon due to an indurated, tight stricture. Biopsies from that area showed ulceration and inflammatory changes non-specific for ischaemia, drug-induced changes or inflammatory bowel disease. As a consequence of the subocclusive symptoms and the possibility of a neoplastic diagnosis, a laparoscopic-assisted transverse colectomy was performed. The histology of the resected segment revealed post-traumatic inflammation and fibrosis with no evidence of neoplasia.
authors: Department of General Surgery, Diana, Princess of Wales Hospital, Grimsby, Grimsby, NE Lincolnshire, UK. raluca.rotar@gmail.com
authors: Raluca
authors: R
authors: Rotar
authors: Raphael
authors: R
authors: Uwechue
authors: Kishore Kumar
authors: KK
authors: Sasapu
mesh_terms: D000007:Abdominal Injuries / Q000150:complications; D015746:Abdominal Pain / Q000209:etiology*; D000063:Accidents, Traffic; D003082:Colectomy; D044684:Colon, Transverse / Q000293:injuries*; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology*; D003110:Colonic Neoplasms / Q000175:diagnosis*; D023881:Colonography, Computed Tomographic; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged
references: Int Surg. 2000 Jan-Mar;85(1):51-4
references: 10817432
references: Br J Radiol. 2001 Mar;74(879):277-9
references: 11338108
references: J Trauma. 1991 Jun;31(6):820-5; discussion 825-6
references: 2056546