Uncommon isolated near total small bowel mesenteric tear after blunt abdominal trauma and successful damage control surgery

Chakravarthy Didde Sundara, Venkatarao Balaga, Kirankumar Gandeti, Venkata Jayaramudu Yeddula, Arjuna Gera

Abstract


Isolated near total small bowel mesenteric tear after blunt abdominal trauma is rare. We reported here an uncommon case with isolated near total small bowel mesenteric tear after blunt abdominal trauma. Early diagnosis of mesenteric tear is important and enhanced computed tomography is more sensitive for that kind of injury. Damage control laparotomy should be considered if unstable vital signs occurred.


Keywords


Blunt abdominal trauma, Diffuse small bowel mesenteric tear, Damage control laparotomy

Full Text:

PDF

References


Sharpio MB, Jenkins DH, Schwab CW, Rotondo MF. Damage control: collective review. J Trauma. 2000;49:969-78.

Sagraves SG, Toschlog EA, Rotondo MF. Damage control surgery-the intensivists role. J Intensive Care Med. 2006;21:5-16.

Johnson JW, Gracias VH, Schwab CW, Reilly PM, Kauder DR, Shapiro MB, et al. Evolution in damage control for exsanguinating penetrating abdominal injury. J Trauma. 2001;51:261-9.

Stone HH, Strom PR, Mullins RJ. Management of the major coagulopathy with onset during laparotomy. Ann Surg. 1983;197:532-5.

Rotondo M, Schwab CW, McGonigal M, Philips G, Fruchterman T, Kauder D, et al. Damage control: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma. 1993;35:373-83.

Sutton E, Bochicchio GV, Bochicchio K, Rodriguez ED, Henry S, Joshi M, et al. Long term outcome of damage control surgery. A preliminary prospective study. J Trauma. 2006;61:831-4.