Copyright
©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jan 7, 2008; 14(1): 143-145
Published online Jan 7, 2008. doi: 10.3748/wjg.14.143
Published online Jan 7, 2008. doi: 10.3748/wjg.14.143
Double ischemic ileal stenosis secondary to mesenteric injury after blunt abdominal trauma
Valérie Bougard, Claude Avisse, Nathalie Levy-Chazal, Jean-François Delattre, Service de Chirurgie Viscérale, Digestive et Endocrinienne, CHU Reims, Hôpital Robert Debré, Reims, France
Martine Patey, Laboratoire Central d’Anatomie et de Cytologie Pathologiques, CHU Reims, Hôpital Robert Debré, Reims, France
Denis Germain, Laboratoire Photographique, CHU Reims, Hôpital Robert Debré, Reims, France
Correspondence to: Valérie Bougard, Service de Chirurgie Viscérale, Digestive et Endocrinienne, CHU Reims, Hôpital Robert Debré, Avenue Général Koenig, F-51092 Reims cedex, France. valeriebougard@hotmail.com
Telephone: +33-326-787064
Fax: +33-326 -783743
Received: February 12, 2007
Revised: September 23, 2007
Published online: January 7, 2008
Revised: September 23, 2007
Published online: January 7, 2008
Abstract
The authors describe a rare case in which blunt abdominal trauma resulted in mesenteric injury with delayed double ischemic ileal stenosis. Abdominal computed tomography demonstrated stenotic ileal loop with mural thickening. At surgery, a double stenotic bowel loop was found adjacent to a healed defect in the mesentery. Histological examination of the two resected segments showed fibrotic and ischemic lesions within the mesentery. Ischemic intestinal stenosis from mesenteric injury should be considered in the differential diagnosis in patients suffering from intestinal occlusion with a history of blunt abdominal trauma.