Document Detail

Sigmoid colon obstruction due to blunt abdominal trauma: a case report.
MedLine Citation:
PMID:  2063697     Owner:  NLM     Status:  MEDLINE    
Post-traumatic colonic stenosis (obstruction) is rare. We experienced a case of sigmoid obstruction due to blunt abdominal trauma. A 75-year-old man was hit on the lower abdomen 3 days before admission and gradually developed abdominal pain and distension. Laboratory data showed severe inflammation and a barium enema disclosed obstruction of the sigmoid colon. Conservative treatment was carefully carried out, because there was no sign of peritoneal irritation and there were passages of normal stool and flatus. The sigmoid obstruction gradually improved and the stenosis was almost undetectable on a barium enema on the 51st hospital day. An abdominal contusion is the most likely causal factor in this case. Compression of the sigmoid colon between the abdominal wall and the promontory of the pelvis is the most possible explanation.
Y Usui; S Sasaki; R Hirai; A Kishi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta medica Okayama     Volume:  45     ISSN:  0386-300X     ISO Abbreviation:  Acta Med. Okayama     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-08-07     Completed Date:  1991-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417611     Medline TA:  Acta Med Okayama     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  61-6     Citation Subset:  IM    
Division of Surgery, National Okayama Hospital, Japan.
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MeSH Terms
Abdominal Injuries / complications*,  radiography
Constriction, Pathologic / etiology,  radiography
Intestinal Obstruction / etiology*,  radiography
Sigmoid Diseases / etiology*,  radiography
Wounds, Nonpenetrating / complications*,  radiography

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