A Case Report of Delayed Rectal Stenosis Following Blunt Abdominal Trauma

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 24; no. 4; pp. 811 - 814
• Main Authors: Kono, Seishi, Azumi, Yasutomo, Morita, Yasushi, Nakamoto, Mitsuharu
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 2004; 日本腹部救急医学会
• Subjects: 直腸狭窄; 遅発性腸管狭窄; 鈍的腹部外傷
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem1993.24.811

Delayed rectal stenosis following abdominal blunt trauma is extremely rare. A 60-year-old man undergoingblunt force to the abdomen in a traffic accident underwent emergency surgery under a diagnosis of leftlower limb infarction and suspicious bowel ischemia. Since operative findings showed complete occlusionof the left common iliac artery, severe damage in the pancreatic head and stomach wall, and severalmesenteric hematomas, we conducted femoral arterial bypass and pancreaticoduodenectomy. About 1 month later, he reported constipation. Stenosis of the end of the ileum, ascending colon, and rectum wasconfirmed by complete examination and surgical treatment was indicated. We conducted righthemicolectomy and low anterior resection. Histological findings showed scar formation following an ulcerby transient rectal ischemia but no malignancy. Rectal stenosis should thus be considered as a potential siteof constipation in patients having blunt abdominal trauma and it is important that this be differentiallydiagnosed from malignancy before treatment.