Abstract
A 69-year-old woman was admitted to this hospital after a traffic accident. Abdominal computed tomography (CT) suggested hemoperitoneum due to mesenteric injury. For further investigation and treatment the patient was transferred to another hospital where an angiography was performed. Vasospasm during the procedure led to spontaneous hemostasis. On day 6 the patient was retransferred to this hospital and soon after readmission she complained about pain in the lower abdomen. Abdominal CT showed signs of blood and gas accumulation located at the transition of the descending colon to the sigmoid colon. Although the subjective symptoms improved, a colonoscopy performed on day 36 revealed colon stenosis. Colectomy was performed on day 63 with an unremarkable postoperative course. In another case, a 29-year-old man was admitted to this hospital after blunt abdominal trauma. Abdominal CT did not show signs of internal organ damage. Following conservative treatment the patient was discharged on day 4. Complaining of abdominal pain, the patient visited the outpatient clinic on day 16. CT of the abdomen showed signs of colon stenosis, located at the descending colon. On day 34 a partial colectomy was performed. Since blunt abdominal trauma may lead to colon stenosis several weeks after the incident, careful follow up is recommended.
