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At least 1,333 records · Page 74Linked to original sources
PubMed1990

Delayed onset of intestinal obstruction in children after unrecognized seat belt injury.

The increased use of child safety seats and seat belt restraints has significantly reduced the incidence of severe head injuries associated with motor vehicular accidents. However, an increase in the number of both acutely recognized intestinal perforations and delayed obstructions due to ischemic strictures has been noted. This report describes two children with delayed onset of intestinal obstruction related to the "seat belt syndrome" who presented with bilious emesis 3 to 6 weeks following an unrecognized lap belt injury. At laparotomy, a volvulus around an omental band adherent to a resolving traumatic mesenteric hematoma was the basis of the obstruction in both cases. The volvulus resulted in a stricture in each instance that required resection and end-to-end anastomosis. The diagnosis of posttraumatic intestinal obstruction should be suspected in children who develop nausea and bilious emesis following motor vehicular accidents in which they were wearing lap belts.

Abdominal Injuries↗
PubMed1994

[Splinting in the treatment of small intestinal obstruction caused by adhesions].

The article discusses the results of small intestine splinting in various modifications with the use of a standard and specially designed silicon catheter. In the period between 1985 and 1990 operations were performed on 28 patients whose ages ranged from 16 to 81 years; all of them were operated on in a state of acute obstruction of the small intestine by adhesions, no fatal outcomes occurred. Various combinations of interventions were accomplished in 5 cases. The splinting catheter had to be removed prematurely in 2 cases because of stoma suppuration; one patient was operated on again 12 months after splinting, a doubtful result was noted in another 3 cases. In the early period the splinting catheter ensures adequate decompression of the intestine and effective prevention of postoperative paresis. The method for fixation of the standard splinting catheter is chosen individually depending on the concrete intraoperative situation. A special catheter with an inflatable cuff can be used which allows splinting of the small intestine without opening its lumen.

Adolescent↗
PubMed1979

[T-shaped anastomosis in treating acute intestinal obstruction in newborn infants].

Newborns with the ileus caused by developmental defects of the digestive tract have, as a rule, suprastenotic dilatations of all the intestine or a considerable part of it higher than the ileus zone and a great difference in the width of the lumen of the intestine portions left after resection of the injured area. In the Center of Developmental Defects of Newborns 190 patients with ileus have been treated for the recent 10 years. In 37 cases T-shaped bypass anastomosis was used which has considerable advantages over "dead" anastomosis. T-shaped ileostomy allows unloading the dilated adducting part of the intestine overfilled with the contents in early terms after operation and simultaneously fulfilling "the feeding" into the abducting part of the intestine.

Acute Disease↗