Department of Gastroenterology and Hepatology, Binzhou Medical University Hospital, No. 661, Huanghe 2nd Road, Binzhou, 256603, Shandong, China.
Department of Gastrointestinal Surgery, Binzhou Medical University Hospital, Shandong, China.
BMC Gastroenterol. 2020 Aug 8;20(1):262. doi: 10.1186/s12876-020-01384-y.
Delayed bowel obstruction due to seat belt injury is extremely rare. The delayed onset of nonspecific symptoms makes a timely diagnosis difficult. A deep understanding of the characteristics of this condition is helpful for early diagnosis and treatment.
A 39-year-old male was transferred to our hospital from another hospital complaints of progressive abdominal distension and severe weakness. In the previous hospital, he was diagnosed with "adult megacolon" and was recommended for surgical treatment. In our hospital, he was diagnosed with delayed bowel obstruction due to seat belt injury and underwent surgical intervention. Following laparoscopic adhesiolysis and resection of the narrow small intestine, his symptoms improved rapidly, and he was discharged.
Delayed bowel obstruction due to seat belt injury may present clinical symptoms any time after the injury. Imaging examination, ileus tube and small colonoscopy may provide us with valuable cues for the diagnosis and treatment of delayed bowel obstruction, and laparoscopy may be an alternative approach in surgical intervention.
安全带致延迟性肠梗阻极为罕见，非特异性症状延迟出现导致及时诊断困难。深入了解该病特点有助于早期诊断和治疗。
一名 39 岁男性因进行性腹胀和严重乏力从外院转入我院。在外院诊断为“成人巨结肠”，建议手术治疗。我院诊断为安全带致延迟性肠梗阻，行手术干预。行腹腔镜粘连松解及狭窄小肠切除后，患者症状迅速改善，出院。
安全带致延迟性肠梗阻在受伤后任何时间都可能出现临床症状。影像学检查、肠梗阻导管和小肠镜检查可为延迟性肠梗阻的诊断和治疗提供有价值的线索，腹腔镜检查可能是手术干预的一种替代方法。
