Clinical features and treatment problems of intestinal and mesenteric injuries due to blunt abdominal trauma

DOI
  • Ueda Nobuhiko
    Department of General and Digestive Surgery, Kanazawa Medical University Department of Infectious Diseases, Kanazawa Medical University
  • Miura Seiko
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Motoyama Syouta
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Tamezawa Hozumi
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Nagayama Daigo
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Sannomiya Yuuta
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Nishiki Hisashi
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Hashimoto Akifumi
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Kaida Daisuke
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Miyata Takashi
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Miyashita Tomoharu
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Fujita Hideto
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Takamura Hiroyuki
    Department of General and Digestive Surgery, Kanazawa Medical University
  • Iinuma Yoshitsugu
    Department of Infectious Diseases, Kanazawa Medical University

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Other Title
  • 鈍的腹部外傷による腸管・腸間膜損傷の臨床像と治療上の問題点

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Abstract

We studied 30 cases of intestinal and mesenteric injury due to blunt abdominal trauma experienced in our department over the past 12 years and 6 months, with the aim of clarifying the clinical features and treatment problems. Traffic accidents accounted for 24 cases （80％）, and seatbelt wearing cases accounted for 22 cases. Five of 14 cases of intestinal injury （36％） had multiple injuries. Eight of 16 cases of mesenteric injury （50％） had multiple injuries. Nine cases （30％） were in a state of shock at the time of arrival or during examination. Of these, 2 cases with retroperitoneal large vessel injury （1 with duodenal injury） and 1 case in shock due to bleeding from the ileocolic artery could not be saved. On the other hand, symptoms such as abdominal pain appeared 9 hours （median） after injury in 6 patients （20％）. In the treatment of intestinal and mesenteric injuries due to blunt abdominal trauma, it is necessary to pay attention to cases of comorbid retroperitoneal large vessel injury, multiple intestinal injuries, and delayed symptom onset.

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