ACUTE JEJUNAL OBSTRUCTION SECONDARY TO TRAUMATIC INTRAMURAL HEMATOMA

[摘要] This case report acids one more to the nine reported cases of intestinal obstruction in children due to hemorrhage occurring in the duodenum or jejunum following a minor nonpenetrating injury to the abdominal wall. Delay in making a correct diagnosis and instituting the proper treatment was due primarily in this case, as in all others reported, to a lack of knowledge that such obstruction could follow such an apparently minor injury to the abdominal wall. Nothing in the symptomatology, physical findings or laboratory data alone can be considered diagnostic of an intramural or subserosal hematoma in the intestinal tract. These, however, coupled with a history of trauma to the abdominal wall and roentgenograms which show the "coiled spring" appearance, lead to a correct diagnosis.

[学科分类] 儿科学