A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal Trauma
A 23-year-old male with a history of previous abdominal surgery was involved in a road traffic accident. He was discharged after initial assessment but represented several days with small bowel obstruction secondary to a mesenteric haematoma. He underwent resection and recovered well but represented...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2017/7639265 |
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| _version_ | 1832551085158432768 |
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| author | Matthew North Nicholas Aveyard Oyeniyi Diya Jeremy Berger Maitham Al-Whouhayb |
| author_facet | Matthew North Nicholas Aveyard Oyeniyi Diya Jeremy Berger Maitham Al-Whouhayb |
| author_sort | Matthew North |
| collection | DOAJ |
| description | A 23-year-old male with a history of previous abdominal surgery was involved in a road traffic accident. He was discharged after initial assessment but represented several days with small bowel obstruction secondary to a mesenteric haematoma. He underwent resection and recovered well but represented later on the day of discharge with a leaking surgical wound consistent with an enterocutaneous fistula. This was managed conservatively and closed spontaneously after ten days. This case serves to highlight that adhesions from previous surgery can tether the small bowel causing mesenteric injury following blunt-force trauma. It also demonstrates that postoperative ileus can result in an enterocutaneous fistula that has the appearance of an anastomotic breakdown but which resolves more rapidly. |
| format | Article |
| id | doaj-art-e7efa03032d644089d63c206393bf293 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-e7efa03032d644089d63c206393bf2932025-02-03T06:05:05ZengWileyCase Reports in Surgery2090-69002090-69192017-01-01201710.1155/2017/76392657639265A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal TraumaMatthew North0Nicholas Aveyard1Oyeniyi Diya2Jeremy Berger3Maitham Al-Whouhayb4Department of General Surgery, Barnet and Chase Farm Hospitals, Royal Free London NHS Foundation Trust, London, UKDepartment of General Surgery, Barnet and Chase Farm Hospitals, Royal Free London NHS Foundation Trust, London, UKDepartment of General Surgery, Barnet and Chase Farm Hospitals, Royal Free London NHS Foundation Trust, London, UKDepartment of General Surgery, Barnet and Chase Farm Hospitals, Royal Free London NHS Foundation Trust, London, UKDepartment of General Surgery, Barnet and Chase Farm Hospitals, Royal Free London NHS Foundation Trust, London, UKA 23-year-old male with a history of previous abdominal surgery was involved in a road traffic accident. He was discharged after initial assessment but represented several days with small bowel obstruction secondary to a mesenteric haematoma. He underwent resection and recovered well but represented later on the day of discharge with a leaking surgical wound consistent with an enterocutaneous fistula. This was managed conservatively and closed spontaneously after ten days. This case serves to highlight that adhesions from previous surgery can tether the small bowel causing mesenteric injury following blunt-force trauma. It also demonstrates that postoperative ileus can result in an enterocutaneous fistula that has the appearance of an anastomotic breakdown but which resolves more rapidly.http://dx.doi.org/10.1155/2017/7639265 |
| spellingShingle | Matthew North Nicholas Aveyard Oyeniyi Diya Jeremy Berger Maitham Al-Whouhayb A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal Trauma Case Reports in Surgery |
| title | A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal Trauma |
| title_full | A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal Trauma |
| title_fullStr | A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal Trauma |
| title_full_unstemmed | A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal Trauma |
| title_short | A Case of Small Bowel Obstruction and Enterocutaneous Fistulation Resulting from a Mesenteric Haematoma following Blunt Abdominal Trauma |
| title_sort | case of small bowel obstruction and enterocutaneous fistulation resulting from a mesenteric haematoma following blunt abdominal trauma |
| url | http://dx.doi.org/10.1155/2017/7639265 |
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