title: [Posttraumatic adhesive ileus following pelvic ring fracture].
abstract: We report on two cases of posttraumatic ileus after pelvic ring fracture in two patients aged 73 and 74 years, respectively. Although all conservative measures were exhausted, in both cases the ileus resulted in additional operative procedures and a significant extension of the hospital stay. Intraoperatively both patients presented with a mechanical ileus caused by adhesions which were unapparent for decades. Only the trauma-related motility disorder led to a clinical manifestation. Pathophysiological mechanisms and their implications on prophylaxis and therapy are discussed.
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Klinikum der Ludwig-Maximilians-Universität, Campus Innenstadt, Nußbaumstr. 20, 80336, München, Deutschland, Thomas.Kusmenkov@med.uni-muenchen.de.
authors.forename: T
authors.initials: T
authors.lastname: Kusmenkov
authors.forename: M S
authors.initials: MS
authors.lastname: Kasparek
authors.forename: M
authors.initials: M
authors.lastname: Brumann
authors.forename: V
authors.initials: V
authors.lastname: Bogner
authors.forename: W
authors.initials: W
authors.lastname: Mutschler
mesh_terms: D000368:Aged; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery; D006801:Humans; D045823:Ileus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery; D000267:Tissue Adhesions / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D016896:Treatment Outcome