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KMID : 1033220170070020083
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Journal of Acute Care Surgery
2017 Volume.7 No. 2 p.83 ~ p.86
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Delayed Pneumatosis Intestinalis Induced by Blunt Trauma in a Strangulated Small Intestine
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Noh Dong-Sub
Cho Hyun-Min
Lee Chan-Kyu
Kim Seon-Hee
Yeo Kwang-Hee
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Abstract
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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.
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KEYWORD
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Blunt trauma, Pneumatosis intestinalis, Strangulation, Fall down, Small bowel
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