Bucket handle injury of small bowel: a case report
نویسندگان
چکیده
Hollow viscus or mesenteric injuries account for 1-6% of in a patient with blunt abdominal trauma. A 63-year-old male, presented history tree fall while he was on two-wheeler. With left hip pain and pain, examination revealed tachycardic, normotensive abrasions dislocation joint. Abdomen diffuse tenderness sluggish bowel sounds blood at the meatus. FAST positive. CECT showed hematoma, intra-peritoneal rupture bladder multiple pelvic fractures. Laparotomy rent anterior wall neck urinary bladder, which repaired along bucket handle tear mesentery, 40 cm from ICJ, gangrene ileum required resection anastomosis. Post-operative period uneventful. Rapid deceleration road traffic accident causes shearing forces between segments fixed retroperitoneum more mobile peritoneal segments, leads to avulsion mesentery known as injury. These are traumatic ischemic injury, require urgent surgical intervention. Due varying CT findings, pre-operative diagnosis is very challenging high index suspicion. Prompt management prevent delayed complications bowel.
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ژورنال
عنوان ژورنال: International Surgery Journal
سال: 2023
ISSN: ['2349-2902', '2349-3305']
DOI: https://doi.org/10.18203/2349-2902.isj20230995