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45th Edition Bvk/sbp Congress - One of the best experts on this subject based on the ideXlab platform.
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Late onset small Intestine Stenosis after blunt abdominal trauma: A pediatric case report of an unkown entity
2017Co-Authors: Lecoq Nathalie, De Magnee Catherine, Menten Renaud, Mourin Anne, Smets Françoise, Tuerlinckx David, 45th Edition Bvk/sbp CongressAbstract:Introduction: Late onset intestinal Stenosis and subocclusion after blunt abdominal trauma is a rare entity. Only a few cases have been reported in the literature. The symptoms may occur months to years after the abdominal trauma. Various mechanisms are described such as localized intestinal ischemia, small perforation of the bowel or mesenteric vascular injury. We report a case of a late onset small Intestine Stenosis 2 months after a blunt abdominal trauma. Case report: A 7 years old girl was involved in a high velocity car crash, she was seat-belted. Immediately after the car crash, she complained of acute abdominal pain. The CT scan showed intraperitoneal liquid of undetermined origin. A diagnosis of digestive ileus and mesenteric contusion was made. The child was transferred to the intensive care unit for observation. A week later, the symptoms had disappeared and she was discharged. A month after the car crash, she was admitted to the emergency room for chronic abdominal pain and acute vomiting. The ultrasonography and the CT scan showed ileitis and inflammatory intestinal Stenosis of 15 centimeters in right iliac fossa. Laboratory tests showed no signs of inflammatory disease. After antalgic treatment, the girl was no longer painful. Two weeks later, the girl was admitted again in the pediatric department for major abdominal pain, vomiting, constipation and weight loss. The ultrasonography showed intestinal subocclusion. After failure of conservative treatment, a laparotomy was performed. Two stenotic segments of the small Intestine were removed. Histopathological examination revealed ischemic necrosis of the small bowel’s segments. She completely recovered and remained asymptomatic for the 2 next months. Discussion and conclusion: Subocclusion and intestinal Stenosis must be considered in differential diagnostic of chronic pain with or without vomitting after a blunt abdominal trauma. Ignorance of these late onset sequelae may induce delay of treatment. Patients with no signs of intestinal inflammatory disease and history of abdominal trauma should be followed regularly. Given the few cases described, there are no guidelines for imaging follow-up and treatment. CT scan seems to be the most frequently used imaging to confirm the ultrasonographic findings. The treatment is the same as the occlusion’s treatment. References Bougard V., Avisse C., Patey M., Germain D., Levy-Chazal N., Delattre J-F, Double ischemic ileal Stenosis secondary to mesenteric injury after blunt abdominal trauma. World J Gastroenterol 2008 January 7; 14 (1): 143-145 De Backer A., De Schepper A., Vaneerdeweg W., Pelckmans P., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma. Eur. Radio. 9 1999, 1429-1431 Imagmoglu M., Sarihan H., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma in children: case reports. Ulus Travma Acil Cerrahi Derg 2013;19 (2):183-185 Maharaj D, Perry A, Ramdass M, Naraynsingh V. Late small bowel obstruction after blunt abdominal trauma. Postgrad Med J 2003; 79: 57-5
Lecoq Nathalie - One of the best experts on this subject based on the ideXlab platform.
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Late onset small Intestine Stenosis after blunt abdominal trauma: A pediatric case report of an unkown entity
2017Co-Authors: Lecoq Nathalie, De Magnee Catherine, Menten Renaud, Mourin Anne, Smets Françoise, Tuerlinckx David, 45th Edition Bvk/sbp CongressAbstract:Introduction: Late onset intestinal Stenosis and subocclusion after blunt abdominal trauma is a rare entity. Only a few cases have been reported in the literature. The symptoms may occur months to years after the abdominal trauma. Various mechanisms are described such as localized intestinal ischemia, small perforation of the bowel or mesenteric vascular injury. We report a case of a late onset small Intestine Stenosis 2 months after a blunt abdominal trauma. Case report: A 7 years old girl was involved in a high velocity car crash, she was seat-belted. Immediately after the car crash, she complained of acute abdominal pain. The CT scan showed intraperitoneal liquid of undetermined origin. A diagnosis of digestive ileus and mesenteric contusion was made. The child was transferred to the intensive care unit for observation. A week later, the symptoms had disappeared and she was discharged. A month after the car crash, she was admitted to the emergency room for chronic abdominal pain and acute vomiting. The ultrasonography and the CT scan showed ileitis and inflammatory intestinal Stenosis of 15 centimeters in right iliac fossa. Laboratory tests showed no signs of inflammatory disease. After antalgic treatment, the girl was no longer painful. Two weeks later, the girl was admitted again in the pediatric department for major abdominal pain, vomiting, constipation and weight loss. The ultrasonography showed intestinal subocclusion. After failure of conservative treatment, a laparotomy was performed. Two stenotic segments of the small Intestine were removed. Histopathological examination revealed ischemic necrosis of the small bowel’s segments. She completely recovered and remained asymptomatic for the 2 next months. Discussion and conclusion: Subocclusion and intestinal Stenosis must be considered in differential diagnostic of chronic pain with or without vomitting after a blunt abdominal trauma. Ignorance of these late onset sequelae may induce delay of treatment. Patients with no signs of intestinal inflammatory disease and history of abdominal trauma should be followed regularly. Given the few cases described, there are no guidelines for imaging follow-up and treatment. CT scan seems to be the most frequently used imaging to confirm the ultrasonographic findings. The treatment is the same as the occlusion’s treatment. References Bougard V., Avisse C., Patey M., Germain D., Levy-Chazal N., Delattre J-F, Double ischemic ileal Stenosis secondary to mesenteric injury after blunt abdominal trauma. World J Gastroenterol 2008 January 7; 14 (1): 143-145 De Backer A., De Schepper A., Vaneerdeweg W., Pelckmans P., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma. Eur. Radio. 9 1999, 1429-1431 Imagmoglu M., Sarihan H., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma in children: case reports. Ulus Travma Acil Cerrahi Derg 2013;19 (2):183-185 Maharaj D, Perry A, Ramdass M, Naraynsingh V. Late small bowel obstruction after blunt abdominal trauma. Postgrad Med J 2003; 79: 57-5
De Magnee Catherine - One of the best experts on this subject based on the ideXlab platform.
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Late onset small Intestine Stenosis after blunt abdominal trauma: A pediatric case report of an unkown entity
2017Co-Authors: Lecoq Nathalie, De Magnee Catherine, Menten Renaud, Mourin Anne, Smets Françoise, Tuerlinckx David, 45th Edition Bvk/sbp CongressAbstract:Introduction: Late onset intestinal Stenosis and subocclusion after blunt abdominal trauma is a rare entity. Only a few cases have been reported in the literature. The symptoms may occur months to years after the abdominal trauma. Various mechanisms are described such as localized intestinal ischemia, small perforation of the bowel or mesenteric vascular injury. We report a case of a late onset small Intestine Stenosis 2 months after a blunt abdominal trauma. Case report: A 7 years old girl was involved in a high velocity car crash, she was seat-belted. Immediately after the car crash, she complained of acute abdominal pain. The CT scan showed intraperitoneal liquid of undetermined origin. A diagnosis of digestive ileus and mesenteric contusion was made. The child was transferred to the intensive care unit for observation. A week later, the symptoms had disappeared and she was discharged. A month after the car crash, she was admitted to the emergency room for chronic abdominal pain and acute vomiting. The ultrasonography and the CT scan showed ileitis and inflammatory intestinal Stenosis of 15 centimeters in right iliac fossa. Laboratory tests showed no signs of inflammatory disease. After antalgic treatment, the girl was no longer painful. Two weeks later, the girl was admitted again in the pediatric department for major abdominal pain, vomiting, constipation and weight loss. The ultrasonography showed intestinal subocclusion. After failure of conservative treatment, a laparotomy was performed. Two stenotic segments of the small Intestine were removed. Histopathological examination revealed ischemic necrosis of the small bowel’s segments. She completely recovered and remained asymptomatic for the 2 next months. Discussion and conclusion: Subocclusion and intestinal Stenosis must be considered in differential diagnostic of chronic pain with or without vomitting after a blunt abdominal trauma. Ignorance of these late onset sequelae may induce delay of treatment. Patients with no signs of intestinal inflammatory disease and history of abdominal trauma should be followed regularly. Given the few cases described, there are no guidelines for imaging follow-up and treatment. CT scan seems to be the most frequently used imaging to confirm the ultrasonographic findings. The treatment is the same as the occlusion’s treatment. References Bougard V., Avisse C., Patey M., Germain D., Levy-Chazal N., Delattre J-F, Double ischemic ileal Stenosis secondary to mesenteric injury after blunt abdominal trauma. World J Gastroenterol 2008 January 7; 14 (1): 143-145 De Backer A., De Schepper A., Vaneerdeweg W., Pelckmans P., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma. Eur. Radio. 9 1999, 1429-1431 Imagmoglu M., Sarihan H., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma in children: case reports. Ulus Travma Acil Cerrahi Derg 2013;19 (2):183-185 Maharaj D, Perry A, Ramdass M, Naraynsingh V. Late small bowel obstruction after blunt abdominal trauma. Postgrad Med J 2003; 79: 57-5
Menten Renaud - One of the best experts on this subject based on the ideXlab platform.
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Late onset small Intestine Stenosis after blunt abdominal trauma: A pediatric case report of an unkown entity
2017Co-Authors: Lecoq Nathalie, De Magnee Catherine, Menten Renaud, Mourin Anne, Smets Françoise, Tuerlinckx David, 45th Edition Bvk/sbp CongressAbstract:Introduction: Late onset intestinal Stenosis and subocclusion after blunt abdominal trauma is a rare entity. Only a few cases have been reported in the literature. The symptoms may occur months to years after the abdominal trauma. Various mechanisms are described such as localized intestinal ischemia, small perforation of the bowel or mesenteric vascular injury. We report a case of a late onset small Intestine Stenosis 2 months after a blunt abdominal trauma. Case report: A 7 years old girl was involved in a high velocity car crash, she was seat-belted. Immediately after the car crash, she complained of acute abdominal pain. The CT scan showed intraperitoneal liquid of undetermined origin. A diagnosis of digestive ileus and mesenteric contusion was made. The child was transferred to the intensive care unit for observation. A week later, the symptoms had disappeared and she was discharged. A month after the car crash, she was admitted to the emergency room for chronic abdominal pain and acute vomiting. The ultrasonography and the CT scan showed ileitis and inflammatory intestinal Stenosis of 15 centimeters in right iliac fossa. Laboratory tests showed no signs of inflammatory disease. After antalgic treatment, the girl was no longer painful. Two weeks later, the girl was admitted again in the pediatric department for major abdominal pain, vomiting, constipation and weight loss. The ultrasonography showed intestinal subocclusion. After failure of conservative treatment, a laparotomy was performed. Two stenotic segments of the small Intestine were removed. Histopathological examination revealed ischemic necrosis of the small bowel’s segments. She completely recovered and remained asymptomatic for the 2 next months. Discussion and conclusion: Subocclusion and intestinal Stenosis must be considered in differential diagnostic of chronic pain with or without vomitting after a blunt abdominal trauma. Ignorance of these late onset sequelae may induce delay of treatment. Patients with no signs of intestinal inflammatory disease and history of abdominal trauma should be followed regularly. Given the few cases described, there are no guidelines for imaging follow-up and treatment. CT scan seems to be the most frequently used imaging to confirm the ultrasonographic findings. The treatment is the same as the occlusion’s treatment. References Bougard V., Avisse C., Patey M., Germain D., Levy-Chazal N., Delattre J-F, Double ischemic ileal Stenosis secondary to mesenteric injury after blunt abdominal trauma. World J Gastroenterol 2008 January 7; 14 (1): 143-145 De Backer A., De Schepper A., Vaneerdeweg W., Pelckmans P., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma. Eur. Radio. 9 1999, 1429-1431 Imagmoglu M., Sarihan H., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma in children: case reports. Ulus Travma Acil Cerrahi Derg 2013;19 (2):183-185 Maharaj D, Perry A, Ramdass M, Naraynsingh V. Late small bowel obstruction after blunt abdominal trauma. Postgrad Med J 2003; 79: 57-5
Mourin Anne - One of the best experts on this subject based on the ideXlab platform.
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Late onset small Intestine Stenosis after blunt abdominal trauma: A pediatric case report of an unkown entity
2017Co-Authors: Lecoq Nathalie, De Magnee Catherine, Menten Renaud, Mourin Anne, Smets Françoise, Tuerlinckx David, 45th Edition Bvk/sbp CongressAbstract:Introduction: Late onset intestinal Stenosis and subocclusion after blunt abdominal trauma is a rare entity. Only a few cases have been reported in the literature. The symptoms may occur months to years after the abdominal trauma. Various mechanisms are described such as localized intestinal ischemia, small perforation of the bowel or mesenteric vascular injury. We report a case of a late onset small Intestine Stenosis 2 months after a blunt abdominal trauma. Case report: A 7 years old girl was involved in a high velocity car crash, she was seat-belted. Immediately after the car crash, she complained of acute abdominal pain. The CT scan showed intraperitoneal liquid of undetermined origin. A diagnosis of digestive ileus and mesenteric contusion was made. The child was transferred to the intensive care unit for observation. A week later, the symptoms had disappeared and she was discharged. A month after the car crash, she was admitted to the emergency room for chronic abdominal pain and acute vomiting. The ultrasonography and the CT scan showed ileitis and inflammatory intestinal Stenosis of 15 centimeters in right iliac fossa. Laboratory tests showed no signs of inflammatory disease. After antalgic treatment, the girl was no longer painful. Two weeks later, the girl was admitted again in the pediatric department for major abdominal pain, vomiting, constipation and weight loss. The ultrasonography showed intestinal subocclusion. After failure of conservative treatment, a laparotomy was performed. Two stenotic segments of the small Intestine were removed. Histopathological examination revealed ischemic necrosis of the small bowel’s segments. She completely recovered and remained asymptomatic for the 2 next months. Discussion and conclusion: Subocclusion and intestinal Stenosis must be considered in differential diagnostic of chronic pain with or without vomitting after a blunt abdominal trauma. Ignorance of these late onset sequelae may induce delay of treatment. Patients with no signs of intestinal inflammatory disease and history of abdominal trauma should be followed regularly. Given the few cases described, there are no guidelines for imaging follow-up and treatment. CT scan seems to be the most frequently used imaging to confirm the ultrasonographic findings. The treatment is the same as the occlusion’s treatment. References Bougard V., Avisse C., Patey M., Germain D., Levy-Chazal N., Delattre J-F, Double ischemic ileal Stenosis secondary to mesenteric injury after blunt abdominal trauma. World J Gastroenterol 2008 January 7; 14 (1): 143-145 De Backer A., De Schepper A., Vaneerdeweg W., Pelckmans P., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma. Eur. Radio. 9 1999, 1429-1431 Imagmoglu M., Sarihan H., Intestinal Stenosis from mesenteric injury after blunt abdominal trauma in children: case reports. Ulus Travma Acil Cerrahi Derg 2013;19 (2):183-185 Maharaj D, Perry A, Ramdass M, Naraynsingh V. Late small bowel obstruction after blunt abdominal trauma. Postgrad Med J 2003; 79: 57-5
