| Post-traumatic small-bowel obstruction: Two case studies. | |
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MedLine Citation:
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PMID: 22463958 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Post-traumatic small-bowel obstructions are rare and late complications following blunt abdominal trauma. Timely diagnosis is frequently impeded because of nonspecific associated symptoms, and furthermore, the degree of urgency is frequently underestimated due to the accidental cause. During the last 6years (2005-2011), we have observed only 2cases (4 and 10years old) with post-traumatic small-bowel obstruction. On admission the patients had a contusion on the abdominal wall, duodenal hematoma and a Chance fracture of the lumbar spine on the computed tomography (CT) scan. Although early clinical improvement was noted, progression of the disorder was observed for the following 15 days like an occlusive syndrome (abdominal distension, nausea, emesis). Abdominal ultrasound and computed tomography scan revealed small-bowel obstruction. At laparotomy, jejunal stenosis was found associated with mesenteric tears, which was resected with end-to-end anastomosis. Six to 8months of follow-up ascertained the therapeutic efficacy of the procedure. Post-traumatic small-bowel obstructions are rare; the clinical presentation is unspecific and appears with a time lag following the trauma. Echography and computed tomography scan can establish both the diagnosis and therapeutic choice. |
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Authors:
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A Faure; C Maurin; J Lauron; J-L Jouve; P De Lagausie; T Merrot |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-3-28 |
Journal Detail:
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Title: Archives de pediatrie : organe officiel de la Societe francaise de pediatrie Volume: - ISSN: 1769-664X ISO Abbreviation: - Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-4-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9421356 Medline TA: Arch Pediatr Country: - |
Other Details:
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Languages: FRE Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012. Published by Elsevier SAS. |
Affiliation:
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Service de chirurgie pédiatrique, université de la Méditerranée, hôpital Nord, AP-HM, chemin des Bourrelly, 13915 Marseille cedex 20, France. |
Vernacular Title:
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Sténoses post-traumatiques du grêle chez l'enfant : à propos de 2 cas. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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