Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal Trauma
Adult intussusception (AI) following blunt abdominal trauma (BAT) is a rare surgical condition. We present a case of delayed diagnosis of ileocecal junction intussusception with a perforation of small bowel in a 34-year-old male with a history of fall from height. Initial exploratory laparotomy rev...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/510701 |
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| author | Ibrahim Afifi Hassan Al-Thani Sajid Attique Sherwan Khoschnau Ayman El-Menyar Rifat Latifi |
| author_facet | Ibrahim Afifi Hassan Al-Thani Sajid Attique Sherwan Khoschnau Ayman El-Menyar Rifat Latifi |
| author_sort | Ibrahim Afifi |
| collection | DOAJ |
| description | Adult intussusception (AI) following blunt abdominal trauma (BAT) is a rare surgical condition. We present a case of delayed diagnosis of ileocecal junction intussusception with a perforation of small bowel in a 34-year-old male with a history of fall from height. Initial exploratory laparotomy revealed shattered spleen requiring splenectomy. Initial abdominal computerized tomography scanning (CT) scan showed dilated small bowel with no organic obstruction. Patient started to improve with partial distention and was shifted to rehabilitation unit. On the next day, he experienced severe abdominal distention and vomiting. Abdominal CT showed characteristic intussusception at the distal ileum. Secondary exploratory laparotomy revealed severe adhesions of stomach and small bowel to the anterior abdominal wall with dilated small bowel loops and intussusception near the ileocecal junction with perforation of small bowel. The affected area was resected and side-to-side stapled anastomosis was performed. Though small bowel intussusception is a rare event, BAT patients with delayed symptoms of bowel obstruction should be carefully evaluated for missed intussusception. |
| format | Article |
| id | doaj-art-f251f08c5883401892c4a1995de5bda3 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-f251f08c5883401892c4a1995de5bda32025-02-03T01:30:51ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/510701510701Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal TraumaIbrahim Afifi0Hassan Al-Thani1Sajid Attique2Sherwan Khoschnau3Ayman El-Menyar4Rifat Latifi5Department of Surgery, Section of Trauma Surgery, Hamad General Hospital, P.O. Box 3050, Doha, QatarDepartment of Surgery, Section of Trauma Surgery, Hamad General Hospital, P.O. Box 3050, Doha, QatarDepartment of Surgery, Section of Trauma Surgery, Hamad General Hospital, P.O. Box 3050, Doha, QatarDepartment of Surgery, Section of Trauma Surgery, Hamad General Hospital, P.O. Box 3050, Doha, QatarClinical Research, Section of Trauma Surgery, Hamad General Hospital, P.O. Box 3050, Doha, QatarDepartment of Surgery, Section of Trauma Surgery, Hamad General Hospital, P.O. Box 3050, Doha, QatarAdult intussusception (AI) following blunt abdominal trauma (BAT) is a rare surgical condition. We present a case of delayed diagnosis of ileocecal junction intussusception with a perforation of small bowel in a 34-year-old male with a history of fall from height. Initial exploratory laparotomy revealed shattered spleen requiring splenectomy. Initial abdominal computerized tomography scanning (CT) scan showed dilated small bowel with no organic obstruction. Patient started to improve with partial distention and was shifted to rehabilitation unit. On the next day, he experienced severe abdominal distention and vomiting. Abdominal CT showed characteristic intussusception at the distal ileum. Secondary exploratory laparotomy revealed severe adhesions of stomach and small bowel to the anterior abdominal wall with dilated small bowel loops and intussusception near the ileocecal junction with perforation of small bowel. The affected area was resected and side-to-side stapled anastomosis was performed. Though small bowel intussusception is a rare event, BAT patients with delayed symptoms of bowel obstruction should be carefully evaluated for missed intussusception.http://dx.doi.org/10.1155/2013/510701 |
| spellingShingle | Ibrahim Afifi Hassan Al-Thani Sajid Attique Sherwan Khoschnau Ayman El-Menyar Rifat Latifi Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal Trauma Case Reports in Surgery |
| title | Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal Trauma |
| title_full | Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal Trauma |
| title_fullStr | Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal Trauma |
| title_full_unstemmed | Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal Trauma |
| title_short | Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal Trauma |
| title_sort | delayed presentation of intussusception with perforation after splenectomy in patient with blunt abdominal trauma |
| url | http://dx.doi.org/10.1155/2013/510701 |
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