Atypical abdominal pain: post-traumatic transverse colon stricture. (23rd August 2013)

• Record Type: Journal Article
• Authors: Rotar, Raluca; Uwechue, Raphael; Sasapu, Kishore Kumar
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-08-23
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-010314
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A driver presented to the emergency department 1 day after an accident driving his excavator with abdominal pain and vomiting. He was admitted to the surgical ward 2 days later, after reattending. A CT scan revealed wall thickening and oedema in the transverse colon. This was supported by a subsequent CT virtual colonoscopy which raised the suspicion of neoplasia. A follow-up colonoscopy was not carried further than the transverse colon due to an indurated, tight stricture. Biopsies from that area showed ulceration and inflammatory changes non-specific for ischaemia, drug-induced changes or inflammatory bowel disease. As a consequence of the subocclusive symptoms and the possibility of a neoplastic diagnosis, a laparoscopic-assisted transverse colectomy was performed. The histology of the resected segment revealed post-traumatic inflammation and fibrosis with no evidence of neoplasia.