Isolated Mesenteric Vascular Injury Following Blunt Abdominal Trauma Leading to Massive Segmental Gangrene of Small Gut: A Case Report

Autor: SIBABRATA KAR, VANDANA MOHAPATRA, PRATAP KUMAR RATH
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Journal of Clinical and Diagnostic Research, Vol 10, Iss 9, Pp PD16-PD17 (2016)
Druh dokumentu: article
ISSN: 2249-782X
0973-709X
DOI: 10.7860/JCDR/2016/22699.8552
Popis: Isolated mesenteric vascular injury following blunt abdominal trauma as a result of road traffic accidents is rare. Delay in reaching hospital, delay in diagnosis, or late operative intervention could lead to increased morbidity, prolonged hospital stay and even mortality. We herein report a case of such injury with subsequent massive segmental small bowel infarction. The patient was referred to our institute ten hours after the alleged accident. Resection of the infarcted bowel segment with end-to-end anastomosis was done. We highlight the various techniques for timely diagnosis and management of isolated mesenteric injuries. A high index of suspicion, early detection and prompt surgical intervention is required when there are minimal symptoms and signs, which might avert adverse outcome.
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