钝性腹部创伤继发回乙状结肠瘘和迟发性回肠梗阻：一例报告
Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report.
作者信息
Bouliaris Konstantinos, Karangelis Dimos, Spanos Konstantinos, Germanos Stylianos, Alexiou Evangelos, Giaglaras Anargyros
机构信息
Department of General Surgery, 404 Military Hospital Larissa, Greece.
出版信息
J Med Case Rep. 2011 Oct 5;5:507. doi: 10.1186/1752-1947-5-507.
INTRODUCTION
Abdominal trauma is a source of significant mortality and morbidity. Bowel injury as a result of blunt abdominal trauma is usually evident within hours or days of the accident.
CASE PRESENTATION
A 38-year-old Caucasian Greek man presented with a subtle and delayed small bowel obstruction caused by a post-traumatic ileosigmoid fistula and ileal stricture four months after a road traffic accident.
CONCLUSION
Delayed occurrence of post-traumatic small bowel stricture and ileosigmoid fistula is an uncommon surgical emergency. General surgeons as well as emergency physicians should bear this manifestation in mind should a patient return to the hospital several weeks or even years after blunt abdominal trauma with symptoms or signs of bowel obstruction.
引言
腹部创伤是导致严重死亡率和发病率的一个原因。钝性腹部创伤所致的肠损伤通常在事故发生后的数小时或数天内就会显现出来。
病例报告
一名38岁的高加索希腊男子，在道路交通事故四个月后，因创伤后回肠乙状结肠瘘和回肠狭窄，出现了轻微且延迟性的小肠梗阻。
结论
创伤后小肠狭窄和回肠乙状结肠瘘的延迟发生是一种罕见的外科急症。普通外科医生以及急诊医生在腹部钝性创伤患者在数周甚至数年之后因肠梗阻症状或体征返回医院时，应牢记这一表现。
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