%0 Journal Article
%T Small bowel intussusception with the Meckel's diverticulum after blunt abdominal trauma: a case report
%A El Bachir Benjelloun
%A Abdelmalek Ousadden
%A Karim Ibnmajdoub
%A Khalid Mazaz
%A Khalid Taleb
%J World Journal of Emergency Surgery
%D 2009
%I BioMed Central
%R 10.1186/1749-7922-4-18
%X Intususception is invagination of a proximal segment of bowel (intussusceptum) into the lumen of the adjacent distal segment (intussuscipiens). While intusussception is relatively common in the childhood, it is infrequently seen in adults [1]. Whereas most cases in childhood occur idiopathically, in adults, an underlying cause is present in 80% of cases [2]. Causes include tumours and polyps as well oedema and fibrosis from recent or previous surgery, and Meckel's diverticula. Cases following blunt abdominal trauma are rare. We present a case of 28-year previously healthy man presenting with abdominal pain and vomiting after blunt abdominal trauma, and developing four days later signs of small bowel obstruction as a cause of ileoileal intussusception with the Meckel's diverticulum. From an extensive review of the literature, intussusception at the site of a Meckel's diverticulum following blunt abdominal trauma has not been previously reported.A 28-year-old previously healthy man presented at the emergency department (ED) 48 hours after a hit in the left side of the abdomen by a fist, with gradual worsening of pain, nausea and bilious vomiting. Physical examination revealed a temperature of 37,6ˇăC, a pulse rate of 80 beat per minute (bpm), a blood pressure of 110/70 mm Hg. The epigastrium, left upper and left lower abdominal quadrants were tender on palpation. On rectal examination the rectum contained no stool. Initial management of the patient involved intravenous fluid resuscitation, and nasogastric tube insertion, routine blood tests and supine abdominal x-rays. Initial laboratory values, including complete blood cell count, serum electrolytes, glucose, blood urea, creatinine, liver function tests, and lipase were all normal. Initially supine abdominal x-ray revealed dilated small-bowel loops with air-fluid levels, but no gas under diaphragm (Fig. 1). Ultrasonography (US) of the abdomen showed free fluid in the peritoneal cavity with dilated small bowel loops wi
%U http://www.wjes.org/content/4/1/18