Delayed Pneumatosis Intestinalis Induced by Blunt Trauma in a Strangulated Small Intestine
Journal of Acute Care Surgery
; (2): 83-86, 2017.
Article
Dans En
| WPRIM
| ID: wpr-648607
Responsable en Bibliothèque :
WPRO
ABSTRACT
An ischemia-reperfusion injury of the intestine due to blunt trauma is very rare. Low blood flow can result in an incarceration and an ischemia-reperfusion injury of the small intestine. A 63-year-old woman fell, producing a splenic rupture. Despite the successful angio-embolization of the splenic rupture, the patient continued to suffer from hypotension. During laparotomy to identify the bowel injury, no intestinal perforation was found. However, we found a hemorrhagic infarction of the small intestine with congestion of the submucosal blood vessels. The part of bowel with the hemorrhagic infarction was resected and reconstructed with a jejuno-colic anastomosis. After surgery, she recovered from the trauma and was discharged without complications. We present this ischemia-reperfusion injury of the intestine due to blunt trauma. Meticulous examination and computed tomography scan is mandatory for diagnosis and assessment of treatment outcome.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Rupture de rate
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Vaisseaux sanguins
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Lésion d'ischémie-reperfusion
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Résultat thérapeutique
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Oestrogènes conjugués (USP)
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Diagnostic
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Hypotension artérielle
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Infarctus
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Perforation intestinale
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Intestin grêle
Type d'étude:
Diagnostic_studies
Limites du sujet:
Female
/
Humans
langue:
En
Texte intégral:
Journal of Acute Care Surgery
Année:
2017
Type:
Article