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April 8, 1968

Stenosis of Ileum Due to Mesenteric Laceration

Author Affiliations

Norristown, Pa

JAMA. 1968;204(2):178-179. doi:10.1001/jama.1968.03140150082037

To the Editor:—  Stenosis of the ileum developed as the result of vascular insufficiency due to laceration of the mesentery after blunt abdominal trauma. Although this entity has been mentioned in the literature, detailed case reports in English are rare, such as the single case in a series of infective granulomas reported by Mock1 in 1931.

Report of a Case:—  A 26-year-old white man in good health was thrown from an automobile moving at approximately 45 mph. The patient sustained a fracture of the left pubic ramus, a bladder laceration, and a retroperitoneal hemorrhage. During the 19 days of hospitalization for treatment of the injuries, one episode of adynamic ileus developed which cleared promptly when treated by intubation. Fortynine days after the original injury, the patient was readmitted with a history of progressively poor appetite, abdominal discomfort, constipation, and flatulence. There had been two days of nausea, anorexia, and