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RESEARCH PRODUCT

Laparoscopic treatment of mesenteric avulsion and intestinal perforation after blunt abdominal trauma: A report of a case

Antonino AgrusaLeonardo GulottaElisa MaienzaGiuseppe Di BuonoSalvatore BuscemiGiorgio Romano

subject

Laparoscopic surgerymedicine.medical_specialtymedicine.medical_treatmentPerforation (oil well)Case ReportSmall bowel injuryLaparoscopic surgeryAbdominal wall03 medical and health sciences0302 clinical medicineBluntMedicineMesenteryLaparoscopymedicine.diagnostic_testbusiness.industrymedicine.diseaseEmergency laparoscopic surgerySurgerymedicine.anatomical_structureAbdominal traumaBlunt trauma030220 oncology & carcinogenesisBlunt trauma030211 gastroenterology & hepatologySurgerybusiness

description

Highlights • Intestinal injuries are quite involved in non-penetrating abdominal trauma after liver and spleen. • The incidence of small bowel injury after blunt abdominal trauma has increased nowadays, since high-energy transfer impacts producing large abdominal wall displacements are more frequent, such as car crash. • We report a case of a 49-year-old Caucasian woman, victim of a violent car crash, resulting in multiple small bowel perforations and mesenteric avulsion treated with laparoscopic approach. • Laparoscopy is a safe and feasible tool in selected patients with blunt abdominal trauma, both for diagnosis and treatment. • The prerequisites for applying mini invasive approach are both the hemodynamic stability of the patient and an adequate surgical expertise in advanced laparoscopy.

yearjournalcountryeditionlanguage
2020-10-01International Journal of Surgery Case Reports
https://doi.org/10.1016/j.ijscr.2020.10.033