title: Isolated Mesenteric Vascular Injury Following Blunt Abdominal Trauma Leading to Massive Segmental Gangrene of Small Gut: A Case Report.
abstract: Isolated mesenteric vascular injury following blunt abdominal trauma as a result of road traffic accidents is rare. Delay in reaching hospital, delay in diagnosis, or late operative intervention could lead to increased morbidity, prolonged hospital stay and even mortality. We herein report a case of such injury with subsequent massive segmental small bowel infarction. The patient was referred to our institute ten hours after the alleged accident. Resection of the infarcted bowel segment with end-to-end anastomosis was done. We highlight the various techniques for timely diagnosis and management of isolated mesenteric injuries. A high index of suspicion, early detection and prompt surgical intervention is required when there are minimal symptoms and signs, which might avert adverse outcome.
authors: Assistant Professor, Department of General Surgery, Shri Ramachandra Bhanj (S.C.B), Medical College , Cuttack, Odisha, India .
authors: Sibabrata
authors: S
authors: Kar
authors: Senior Resident, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences (Aiims) , Bhubaneswar, Odisha, India .
authors: Vandana
authors: V
authors: Mohapatra
authors: Professor, Department of General Surgery, Shri Ramachandra Bhanj (S.C.B), Medical College , Cuttack, Odisha, India .
authors: Pratap Kumar
authors: PK
authors: Rath
keywords: Haemoperitoneum; Ileal infarction; Isolated mesenteric injuries