Delayed presentation of bowel obstruction after abdominal blunt trauma

Delayed presentation of bowel obstruction after abdominal blunt trauma

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Blunt abdominal trauma is a rare vuori sunrise crew cause of small bowel obstruction thought to arise from either a sealed perforation of the small bowel or mesenteric injury resulting in adhesions.A 55-year-old gentleman presented with symptoms and signs of small bowel obstruction and a history of blunt abdominal trauma 14 months previously.Abdominal computed tomography showed a transition zone at the terminal ilium with proximal dilatation indicative of obstruction.

At surgery, he had adhesions involving the terminal ilium with shortening and fibrosis of the supplying mesentery.Patients with a history of blunt abdominal trauma presenting with cmpk bolus abdominal symptoms must be investigated to rule out bowel obstruction, with a low threshold for surgical intervention.