A CASE OF DELAYED ONSET OF COLONIC STRICTURE FOLLOWING AN ABDOMINAL BLUNT TRAUMA
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概要
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Intestinal injuries due to abdominal blunt trauma commonly present with acute onset of perforation, rupture, or bleeding, but rarely with delayed onset of intestinal stricture. This time we have experienced a case of an abdominal blunt trauma with delayed onset of colonic stricture, which is very rare. A 77-year-old woman fell from a movable atair and then the stair dropped to her body when she sustained a strong bruise on the thoracicoabdominal region. She was brought into the hospital by ambulance. No findings of organic injuries and intestinal perforation were noted, conservative therapy was successful and the patient was discharged from the hospital on the 31st day after injury. Thereafter she developed symptoms like intestinal obstruction on the 51st day after injury and was admitted to the hospital again. Close exploration disclosed a severe narrowing of the transverse colon from the hepatic flexure. The patient was diagnosed as having the delayed onset of stricture of the large intestine and underwent laparotomy on the 69th day after injury. During surgery, we saw that the right-side colon, mesentery, and greater omentum had formed a mass to be an inflammatory tumor in the right upper abdomen, and a severe stricture was present in the transverse colon. A partial resection of the transverse colon was performed. Histological study showed granulation in the entire layers of the intestinal wall and appearance of foreign body giant cells, so that the presence of penetration was suggested as well. The possibility of the disease must be kept in mind in the treatment of cases of an abdominal trauma.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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