Hefny Ashraf F, Lunsjo Karl, Joshi Sandhya, Abu-Zidan Fikri M
Department of Surgery, Al-Ain Hospital, Al-Ain, United Arab Emirates.
Saudi Med J. 2005 Sep;26(9):1464-7.
Advances in diagnosis and management of multiple trauma patients have lead to adopting a conservative approach for most patients with blunt abdominal trauma. Intestinal obstruction is a rare complication for this approach. Herein, we report a 37-year-old male, who did not have an abdominal operation, and who developed adhesive intestinal obstruction 7 weeks following blunt abdominal trauma. We detected no signs of peritonitis or intra-abdominal bleeding clinically or radiologically on admission. We initially treated the intestinal obstruction conservatively, but the obstruction did not resolve. Finally, we performed laparotomy, which showed that the small bowel was matted together by thick fibrous layers of adhesions. We performed adhesiolysis, and the patient was discharged home 3 weeks later. Histopathological findings of the fibrous layer were consistent with repair due to previous trauma and hemorrhage. We review the literature of this rare condition.
多发伤患者诊断和治疗方法的进展促使对大多数钝性腹部创伤患者采取保守治疗方法。肠梗阻是这种治疗方法罕见的并发症。在此，我们报告一名37岁男性，他未接受过腹部手术，在钝性腹部创伤7周后发生粘连性肠梗阻。入院时，我们在临床和影像学上均未发现腹膜炎或腹腔内出血的迹象。我们最初对肠梗阻采取保守治疗，但梗阻未缓解。最后，我们进行了剖腹手术，发现小肠被厚厚的纤维粘连层缠结在一起。我们进行了粘连松解术，患者3周后出院。纤维层的组织病理学检查结果与既往创伤和出血后的修复情况一致。我们回顾了关于这种罕见病症的文献。
