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Ischaemic ileal stenosis following blunt abdominal trauma and demonstrated by CT

Y Tsushima, MD1, S Yamada, MD2, J Aoki, MD3 and K Endo, MD3

1 Departments of Radiology
2 Surgery, Motojima General Hospital, 3-8 Nishi-honcho, Ohta, Gunma, 373-0033
3 Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital, 3-39-15 Showa-machi, Maebashi, Gunma, 371-0034 Japan



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Figure 1. Contrast enhanced CT of the abdomen performed 18 days after blunt abdominal trauma. There is an abnormal ileal loop (arrows) with mural thickening, well enhanced mucosa and narrowing of its lumen. *Subacute haematoma of the mesentery. **Dilated proximal small bowel.

 


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Figure 2. Photograph of the resected ileum. The small intestine (arrows) is stenotic and fibrotic. There is a subacute haematoma (*) due to mesenteric injury, parallel to the involved ileum.

 





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