Delayed bowel obstruction after seat belt injury: a case report

Delayed bowel obstruction due to seat belt injury is extremely rare. The delayed onset of nonspecific symptoms makes a timely diagnosis difficult. A deep understanding of the characteristics of this condition is helpful for early diagnosis and treatment. A 39-year-old male was transferred to our hos...

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Bibliographic Details
Published in:BMC gastroenterology 2020-08, Vol.20 (1), p.262-262, Article 262
Main Authors: Ma, Xing-Bin, Hu, Bao-Guang, Wang, Wei, Cheng, Xian-Yong, Guan, Chun-Di, Liu, Cheng-Xia
Format: Article
Language:English
Subjects:
Abdomen
Abdominal injuries
Abdominal Injuries - complications
Abdominal Injuries - surgery
Adhesives
Adult
Asymptomatic
Care and treatment
Case Report
Case reports
Case studies
Colon
Colonoscopy
Complications and side effects
Delayed bowel obstruction
Diagnosis
Distension
Duodenal obstruction
Endoscopy
Gastroenterology
Humans
Ileus - etiology
Ileus - surgery
Injuries
Intestinal obstruction
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestine, Small
Ischemia
Laparoscopy
Male
Malnutrition
Medical diagnosis
Medical imaging
Mesentery
Patients
Seat belt injury
Seat belts
Seat Belts - adverse effects
Small intestine
Surgeons
Surgery
Trauma
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Summary:Delayed bowel obstruction due to seat belt injury is extremely rare. The delayed onset of nonspecific symptoms makes a timely diagnosis difficult. A deep understanding of the characteristics of this condition is helpful for early diagnosis and treatment. A 39-year-old male was transferred to our hospital from another hospital complaints of progressive abdominal distension and severe weakness. In the previous hospital, he was diagnosed with "adult megacolon" and was recommended for surgical treatment. In our hospital, he was diagnosed with delayed bowel obstruction due to seat belt injury and underwent surgical intervention. Following laparoscopic adhesiolysis and resection of the narrow small intestine, his symptoms improved rapidly, and he was discharged. Delayed bowel obstruction due to seat belt injury may present clinical symptoms any time after the injury. Imaging examination, ileus tube and small colonoscopy may provide us with valuable cues for the diagnosis and treatment of delayed bowel obstruction, and laparoscopy may be an alternative approach in surgical intervention.
ISSN:1471-230X
1471-230X
DOI:10.1186/s12876-020-01384-y