ArticleJournal of surgical case reports2026
Delayed small bowel obstruction due to blunt abdominal trauma with mesenteric injury: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Small bowel obstruction (SBO) following blunt abdominal trauma (BAT) is an uncommon but important delayed complication, usually resulting from ischemic or fibrotic changes secondary to mesenteric injury. A 52-year-old male presented 2 months after BAT with a 5-day history of progressive bowel obstruction. Computed tomography imaging showed a 10-cm distal ileal stenosis with mural thickening and mesenteric hyperemia. Exploratory laparotomy revealed a 4-cm ileal thickening and mesenteric laceration. A 20-cm ileal resection with latero-lateral isoperistaltic anastomosis was performed. Histology confirmed ischemic injury secondary to local trauma. This case illustrates a rare presentation of delayed SBO due to post-traumatic mesenteric ischemia. Clinicians should maintain a high index of suspicion in patients with prior BAT and evolving gastrointestinal symptoms to ensure timely diagnosis and management.
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