SHORT BOWEL DISTRUPTION FOLLOWING BLUNT ABDOMINAL TRAUMA

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Published: Mar 1, 2003
Keywords:
Blunt abdominal trauma, jejunal disruption

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A. Schiavone
U.O. di Chirurgia d’Urgenza, Azienda Policlinico di Modena
M. Gavioli
U.O. di Chirurgia d’Urgenza, Azienda Policlinico di Modena
P.C. Scarone
U.O. di Chirurgia d’Urgenza, Azienda Policlinico di Modena
A. Perrone
U.O. di Chirurgia d’Urgenza, Azienda Policlinico di Modena
G. Natalini
U.O. di Chirurgia d’Urgenza, Azienda Policlinico di Modena

Abstract

Introduction: Short Bowel disruption following blunt abdominal trauma is rare and hard to diagnose and to treat. Death rate depends both on timing of surgical procedure and on associated lesions.


Matherial and methods: We show a case of short bowel isolated lesion following fall from mountain bike, III degree in O.I.S. Classification. Abdominopelvic US and helicoidal CT scan were performed, revealing pneumoperitonaeum due to hollow viscus disruption. Surgical procedure was performed within five hours from trauma.


Results: No complications occurred in postoperative period. Upper alimentary tract X-ray proved a regular transit, without any fistula. Patient was discharged on 13 th day.


Conclusion: Laparotomy must not be delayed if there is any doubt about bowel conditions: it’s demonstrated that timing of surgical procedure is related to prognosis. If haemodinamic status of the patient allows, careful abdomen CT evaluation is mandatory; adequate nutritional support in postoperative period is also very important

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How to Cite
Schiavone, A., et al. “SHORT BOWEL DISTRUPTION FOLLOWING BLUNT ABDOMINAL TRAUMA”. Annali Italiani Di Chirurgia, vol. 74, no. 2, Mar. 2003, pp. 189-94, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1897.
Issue
Vol. 74 No. 2 (2003)
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Article