Abstract

The mechanism of mesenteric injury in blunt abdominal trauma involves compression and deceleration forces which result in a spectrum of injuries that range from contusions to tearing of the bowel wall, tearing of the mesentery, and loss of vascular supply. Hemoperitoneum is a major sign of severity in abdominal trauma, which, in most cases, requires emergency surgery.

Our patient showed that the diagnosis of mesenteric injury should be considered even in patients who sustain only minor abdominal trauma. In this case the patient’s symptoms were suggestive only for the orthopedic lesion and not for the hemoperitoneum.

Trans-scapho-lunate dislocation fracture is a rare lesion that may go unnoticed at initial assessment in a polytraumatized patient. A delay in the diagnosis and treatment of a scaphoid fracture may alter the prognosis after consolidation.

Details

Title
Ruptures of mesentery- a silent posttraumatic injury (Case Report)
Author
Irina-Anca Eremia 1 ; Grecescu, Leonard 1 ; Albu, Siegfried 1 ; Iancu, Adela 2 ; Nica, Remus 3 ; Nica, Silvia 1 

 “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Emergency Department, University Emergency Hospital, Bucharest, Romania 
 “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania 
 “Dr. Carol Davila” Central Military University Emergency Hospital, Bucharest, Romania 
Pages
81-89
Publication year
2020
Publication date
2020
Publisher
De Gruyter Poland
ISSN
26015005
e-ISSN
25448978
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3158070141
Copyright
© 2020. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.