2019 Volume 39 Issue 4 Pages 769-772
A 20-year-old man was transported to our hospital following a traffic accident. A seatbelt mark was found on his abdomen and tenderness was recognized at the same site. Because there were no abnormal findings in a blood test and contrast CT findings, it was decided to follow him up without admission. Stomachache appeared on day eight after the injury. Contrast CT revealed two small intestinal stenosis under the navel and the small intestine more oral than the stenosis site was swollen. We diagnosed this situation as posttraumatic delayed small bowel stenosis and operated with single incision laparoscopic surgery. The thickening and shortening of the small mesentery was confirmed in the peritoneal cavity. The stenotic site was removed from the navel and the small intestine was resected. The patient was discharged on the 8th day after surgery. In posttraumatic delayed small bowel stenosis, it is difficult to expose the small intestine of the lesion to the outside due to thickening or shortening of the mesentery. However, by confirming the stenotic site and grasping the situation based on CT imaging, laparoscopic surgery (Single incision laparoscopic surgery: SILS) could be considered as one of the useful options.
