외상 후 생긴 소장 협착
Posttraumatic Intestinal Stenosis
류승완, 김인호, 손수상, 권중혁,
소속 상세정보
류승완 ( )
계명대학교 의과대학 외과학교실
김인호 ( )
계명대학교 의과대학 외과학교실
손수상 ( )
계명대학교 의과대학 외과학교실
권중혁 ( )
계명대학교 의과대학 진단방사선과학교실
KMID : 0371320030650050461
Abstract
We report a case of posttraumatic intestinal stenosis (PIS), an uncommon sequela of blunt abdominal trauma, in which injury to the mesentery and bowel wall results in later focal ischemic stricture of that segment. We present CT images at the time of trauma and 3 weeks later when clinical signs of intestinal obstruction occurred. At surgery, a stenotic small bowel loop was found adjacent to a healed defect in the mesentery. Histologic examination of the resected segment showed mucosal and submucosal ischemia with mucosal ulceration, mural inflammation, and fibrosis. PIS subsequent to a mesenieric tear should be included in the differential diagnosis for a patient with a history of blunt abdominal trauma and signs of intestinal obstruction.
키워드
복부 외상;장협착;장간막 손상;장폐색;Blunt abdominal trauma;Intestinal stenosis;Mesenteric injury;Intestinal obstruction
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