A Case of Late-Onset Intestinal Stenosis Associated With Perforated Peritonitis Following Blunt Abdominal Trauma Treated by Laparoscopic-Assisted Surgery

DOI Web Site
  • Ono Kentaro
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Masumoto Kouji
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Takayasu Hajime
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Urita Yasuhisa
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Shinkai Toko
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Tanaka Hideaki
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Goto Chikashi
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba
  • Sasaki Takato
    Department of Pediatric Surgery, Faculty of Medicine, University of Tsukuba

Bibliographic Information

Other Title
  • 外傷性遅発性小腸狭窄に対し腹腔鏡補助下手術を施行した1例
  • 症例報告 外傷性遅発性小腸狭窄に対し腹腔鏡補助下手術を施行した1例 : 単孔式腹腔鏡補助下イレウス手術における術中消化管減圧の工夫
  • ショウレイ ホウコク ガイショウセイチハツセイ ショウチョウ キョウサク ニ タイシ フククウキョウ ホジョ シタテジュツ オ シコウ シタ 1レイ : タンコウシキ フククウキョウ ホジョ カ イレウス シュジュツ ニ オケル ジュッチュウ ショウカカン ゲンアツ ノ クフウ
  • ―単孔式腹腔鏡補助下イレウス手術における術中消化管減圧の工夫―

Search this article

Description

<p>A 9-year-old girl was run over by a truck and brought to a previous hospital. An external skeletal fixation was performed for her pelvic fracture. Although oral intake started postinjury day 5, she had been suffering from repeated intestinal obstruction since then. At 6 weeks after the injury, she was referred to our hospital because she had fever in addition to intestinal obstruction symptoms. An urgent enhanced computed tomography scan revealed a dilated intestine and pelvic abscess. She underwent laparoscopic-assisted surgery with minilaparotomy. Before the laparoscopic procedure, intestinal decompression was performed by handling the intestine through the wound at the umbilicus. Then, we found a mesenteric defect with severe stenosis of the ileum. The affected bowel segment was resected, and primary anastomosis was performed. The patient was transferred to the previous hospital 13 days later with normal bowel function for further treatment of her pelvic fracture. Although posttraumatic intestinal stenosis is a rare condition and difficult to diagnose, laparoscopic-assisted surgery could be feasible and useful for the diagnosis and treatment of intestinal obstruction even with a dilated intestine and peritonitis.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top