A Case Report of Post-traumatic Delayed Stenosis of the Small Intestine

Abstract

Delayed stenosis of the small intestine after blunt abdominal trauma is rare. A 26-year-old male receiveda blunt force to his right elbow and abdomen during an accident. An emergency operation was perfomed at another hospital. However, his abdominal pain and diarrhea was aggravated when he ate, so he was admitted to our hospital. Although we attempted to treat him using conservative therapy for one month, his symptoms persisted. An exploratory laparotomy subsequently revealed stenosis and wall-thickening of the ileum in a section about 13cm long on the oral side, about 30cm distant from Bauhin's valve. A partial resection of the intestine was performed. The outcome of the surgical treatment in this case was good. Delayed stenosis of the small intestine should be considered when a patient complains of ileus symptoms after reuiving a blunt abdominal trauma.