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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Ileosigmoid fistula and delayed ileal obstruction secondary to blunt abdominal trauma: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Konstantinos Bouliaris, Dimos Karangelis, Konstantinos Spanos, Stylianos Germanos, Evangelos Alexiou, Anargyros Giaglaras
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-507) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

BK performed the literature search and was the chief author in writing the manuscript. DK performed the literature research and co-authored the paper. KS was the attending surgeon of the case and checked the paper. SG assisted with the linguistics and performed the literature research. EA helped with illustrations and submitted the radiological images. GA was the chief surgeon and performed the final check of the paper. All authors read and approved the final manuscript.

Abstract

Introduction

Abdominal trauma is a source of significant mortality and morbidity. Bowel injury as a result of blunt abdominal trauma is usually evident within hours or days of the accident.

Case presentation

A 38-year-old Caucasian Greek man presented with a subtle and delayed small bowel obstruction caused by a post-traumatic ileosigmoid fistula and ileal stricture four months after a road traffic accident.

Conclusion

Delayed occurrence of post-traumatic small bowel stricture and ileosigmoid fistula is an uncommon surgical emergency. General surgeons as well as emergency physicians should bear this manifestation in mind should a patient return to the hospital several weeks or even years after blunt abdominal trauma with symptoms or signs of bowel obstruction.

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