EMERGENCY CASEBOOKS
Small bowel intussusception following blunt abdominal trauma in an adult patient
1 Department of Surgery, Division of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon
2 Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon
Correspondence to:
Correspondence to Dr G S Abi Saad, American University of Beirut Medical Center, Division of General Surgery - Department of Surgery, P O Box 11-0236, Riad El Solh 1107 2020, Beirut, Lebanon; ga17{at}aub.edu.lb
Blunt abdominal trauma is a rare cause of small bowel intussusception in adults. A patient is described who presented with signs and symptoms of intestinal obstruction following a fall from a ladder. A CT scan revealed evidence of ileo-ileal intussusception. Exploratory laparotomy and resection of a necrotic bowel segment were performed. Rare occurrences like intussusception should be kept in mind in similar presentations with careful examination of the pathognomonic CT findings, as early detection and surgical intervention with manual reduction could preclude the need for small bowel resection and its untoward possible complications.
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