Mechanical ileus as a result of scar tissue stenosis of the small intestine

Česká verze

Authors: L. Puszkailer; J. Smetka
Authors place of work: Chirurgicko-traumatologické oddělení nemocnice Šternberk SMN, a. s., primář: MUDr. J. Smetka
Published in the journal: Rozhl. Chir., 2016, roč. 95, č. 11, s. 413-415.
Category: Kazuistika

Summary

Introduction:
Ileus accounts for about 20% of all acute abdomen onsets. Etiologically and clinically, it is a very heterogeneous group of diseases. The presented case report shows other possible causes of ileus.

Case report:
The authors present a case of mechanical ileus in a 40 years old female admitted and operated due to mechanical ileus. Preoperative imaging methods and the postoperative finding showed stenosis of the small intestine. This finding was resolved by resection of the stenotic part of the intestine. Chronic inflammation, heterotopic gastric mucosa and mucosal ulceration were described based on histology.

Discussion:
In the presented case, the authors discuss the etiology of intestinal stenosis. The authors consider as a possible cause blunt abdominal trauma or an ulcerogenic lesion in the terrain of heterotopic gastric mucosa.

Conclusion:
The diagnosis and treatment of ileus conditions are well known to all surgeons. The presented case report discusses other possible causes of mechanical ileus.

Keywords:
mechanical ileus −⁠ posttraumatic stenosis −⁠ heterotopic gastric mucosa

Zdroje

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