Delayed Pneumatosis Intestinalis Induced by Blunt Trauma in a Strangulated Small Intestine

Delayed Pneumatosis Intestinalis Induced by Blunt Trauma in a Strangulated Small Intestine

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An ischemia-reperfusion injury of the intestine due to blunt trauma is very rare.Low blood flow can result in an incarceration and an ischemia-reperfusion injury of the small intestine.A 63-year-old woman fell, producing a splenic rupture.Despite the successful angio-embolization of the splenic rupture, the patient continued to suffer from hypotension.During Christmas Card laparotomy to identify the bowel injury, no intestinal perforation was found.

However, we found a hemorrhagic infarction of the small intestine with congestion of the submucosal blood vessels.The part of bowel with the hemorrhagic infarction was resected and reconstructed with a jejuno-colic anastomosis.After surgery, she recovered from the trauma and was discharged without complications.We present this ischemia-reperfusion injury of the Mounting intestine due to blunt trauma.Meticulous examination and computed tomography scan is mandatory for diagnosis and assessment of treatment outcome.