Top

Published in:

Open Access 01-12-2011 | Case report

Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report

Authors: Konstantinos Bouliaris, Dimos Karangelis, Konstantinos Spanos, Stylianos Germanos, Evangelos Alexiou, Anargyros Giaglaras

Published in: Journal of Medical Case Reports | Issue 1/2011

Abstract

Introduction

Abdominal trauma is a source of significant mortality and morbidity. Bowel injury as a result of blunt abdominal trauma is usually evident within hours or days of the accident.

Case presentation

A 38-year-old Caucasian Greek man presented with a subtle and delayed small bowel obstruction caused by a post-traumatic ileosigmoid fistula and ileal stricture four months after a road traffic accident.

Conclusion

Delayed occurrence of post-traumatic small bowel stricture and ileosigmoid fistula is an uncommon surgical emergency. General surgeons as well as emergency physicians should bear this manifestation in mind should a patient return to the hospital several weeks or even years after blunt abdominal trauma with symptoms or signs of bowel obstruction.

Available only for authorised users

Mendez C: Blunt abdominal trauma. Surgical Therapy. Edited by: Cameron JL. 1998, Philadelphia: Mosby, 906-911. 6

Brunucardi FC: Principles of surgery. 2005, New York: McGraw Hill, 2: 129-187.

Hughes TM, Elton C, Hitos K, Perez JV, McDougall PA: Intra-abdominal gastrointestinal tract injuries following blunt trauma: the experience of an Australian trauma centre. Injury. 2002, 33: 617-626. 10.1016/S0020-1383(02)00068-2.CrossRefPubMed

Fakhry SM, Watts DD, Luchette FA, EAST Multi-Institutional Hollow Viscus Injury Research Group: Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma. 2003, 54 (2): 295-306. 10.1097/01.TA.0000046256.80836.AA.CrossRefPubMed

Hoff WS, Holevar M, Nagy KK, Patterson L, Young JS, Arrillaga A, Najarian MP, Valenziano CP, Eastern Association for the Surgery of Trauma: Practice management guidelines for the evaluation of blunt abdominal trauma: the East practice management guidelines work group. J Trauma. 2002, 53 (3): 602-615. 10.1097/00005373-200209000-00038.CrossRefPubMed

Chatzis I, Katsourakis A, Noussios G, Chouridis P, Chatzitheoklitos E: Delayed small bowel obstruction after blunt abdominal trauma. A case report. Acta Chir Belg. 2008, 108 (5): 597-599.CrossRefPubMed

Maharaj D, Perry A, Ramdass M, Naraynsingh V: Late small bowel o bstruction after blunt abdominal trauma. Postgrad Med J. 2003, 79 (927): 57-58. 10.1136/pmj.79.927.57.CrossRefPubMedPubMedCentral

Welch GH, Anderson JR: Small bowel stricture following abdominal trauma. Postgrad Med J. 1985, 61 (722): 1087-1088. 10.1136/pgmj.61.722.1087.CrossRefPubMedPubMedCentral

Lane TM, Williams TG: Small bowel obstruction following blunt abdominal trauma. Injury. 1998, 29 (6): 484-485. 10.1016/S0020-1383(98)00091-6.CrossRefPubMed

10.

Konobu T, Murao Y, Miyamoto S, Nakamura T, Imanishi M, Ueda S, Nosaka Y, Konishi N: Posttraumatic intestinal stenosis presenting as a perforation: report of a case. Surg Today. 1999, 29 (6): 564-567. 10.1007/BF02482355.CrossRefPubMed

11.

Gray J, Garstin I: Intestinal obstruction following blunt abdominal trauma. Ulster Med J. 2002, 71 (2): 139-141.PubMedPubMedCentral

12.

Marks CG, Nolan DJ, Piris J, Webster CU: Small bowel strictures after blunt abdominal trauma. Br J Surg. 1979, 66: 663-664. 10.1002/bjs.1800660922.CrossRefPubMed

13.

Foster ME, Clarke S, Griffiths D: Post-traumatic small bowel stenosis. J R Coll Surg Edinb. 1984, 29: 256-257.PubMed

14.

Tsushima Y, Yamada S, Aoki J, Endo K: Ischaemic ileal stenosis following blunt abdominal trauma and demonstrated by CT. Br J Radiol. 2001, 74 (879): 277-27.CrossRefPubMed

15.

Kearney PA, Vahey T, Burney RE, Glazer G: Computed tomography and diagnostic peritoneal lavage in blunt abdominal trauma. Their combined role. Arch Surg. 1989, 124: 344-347.CrossRefPubMed

16.

Liu M, Lee CH, P'Eng FK: Prospective comparison of diagnostic peritoneal lavage, computed tomographic scanning, and ultrasonography for the diagnosis of blunt abdominal trauma. J Trauma. 1993, 35: 267-270. 10.1097/00005373-199308000-00016.CrossRefPubMed

17.

Banz VM, Butt MU, Zimmermann H, Jeger V, Exadaktylos AK: Free abdominal fluid without obvious solid organ injury upon CT imaging: an actual problem or simply over-diagnosing?. J Trauma Manag Outcomes. 2009, 3: 10-10.1186/1752-2897-3-10.CrossRefPubMedPubMedCentral

18.

Rodriguez C, Barone JE, Wilbanks TO, Rha CK, Miller K: Isolated free fluid on computed tomographic scan in blunt abdominal trauma: a systematic review of incidence and management. J Trauma. 2002, 53: 79-85. 10.1097/00005373-200207000-00016.CrossRefPubMed

19.

Brasel KJ, Olson CJ, Stafford RE, Johnson TJ: Incidence and significance of free fluid on abdominal computed tomographic scan in blunt trauma. J Trauma. 1998, 44: 889-892. 10.1097/00005373-199805000-00024.CrossRefPubMed

20.

Lane TM: Small bowel obstruction after blunt trauma. J R Soc Med. 2000, 93 (9): 498-PubMedPubMedCentral

Title: Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report
Authors: Konstantinos Bouliaris
Dimos Karangelis
Konstantinos Spanos
Stylianos Germanos
Evangelos Alexiou
Anargyros Giaglaras
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-5-507

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report

Abstract

Introduction

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2011

Tracheo-brachiocephalic artery fistula after tracheostomy associated with thoracic deformity: a case report

Sustained remission of rheumatoid arthritis with a specific serotonin reuptake inhibitor antidepressant: a case report and review of the literature

Withdrawal-induced delirium associated with a benzodiazepine switch: a case report

Citrobacter freundii infection after acute necrotizing pancreatitis in a patient with a pancreatic pseudocyst: a case report

Cutaneous lupus erythematosus after treatment with paclitaxel and bevacizumab for metastatic breast cancer: a case report

Plasmablastic lymphoma in the ano-rectal junction presenting in an immunocompetent man: a case report