小児の外傷性小腸狭窄症の1例

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  • Traumatic Stricture of the Intestine in a Child

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Stricture of the intestine caused by a blunt trauma of the abdomen is rare and less than 30 cases have been reported in the literature including adults so far. In this paper, we report a case of 8-year-old boy with intestinal stricture, with a review of the world literature. He received a blunt force of the upper abdomen with a seat-belt of car being drived by his mother which run into a guard-rail, resulting in recurrent intestinal obstruction and vomiting. The boy had been in relatively good condition until approximately 7 weeks after the trauma when he started symptoms of a complete obstruction of the intestine. On 51 days after the trauma, intesital stricture was confirmed by GI series and surgery was done. At operation, the ileum of 110cm from Treiz's ligament was remarkably narrow and the omentum adhered to this part, therefore, the ileum of 8cm including stricture part was resected. Histologically, there were scar tissues and ulcer in accordance with part of the rupture of muscular coat in the intestinal wall. Postoperative course was uneventful and he was discharged on the 17th day after surgery.

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