Laparoscopic surgery for traumatic jejunal wall hematoma in a 6-year-old boy Akiko SHIMIZU 1 , Akira WATANABE 1 , Hirokazu KUBO 1 , Mitsuyoshi OTA 1 , Mitsutaka SUGITA 1 1Department of Surgery, Yokohama City Minato Red Cross Hospital Keyword: 消化管壁内血腫 , 通過障害 , 腹腔鏡下手術 pp.371-376
Published Date 2021/9/15
DOI https://doi.org/10.11477/mf.4426200934
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 The patient is a 6-year-old boy who fell from the bicycle and hit his epigastrium with the steering wheel. On the same day, he developed abdominal pain and vomiting. Computed tomography revealed a hematoma in the wall of the jejunum near the Treitz ligament, which resulted in intestinal obstruction. He was treated conservatively by fasting. However, because he started vomiting with only water intake, surgery was performed on hospitalization day 11. Laparoscopically, the incision was made in the jejunum and the hematoma was aspirated. During surgery, intestinal obstruction in the lumen was confirmed, and the incision site was sutured to complete the surgery. The patient was discharged on postoperative day 12 without any complication. The patient should be monitored carefully even during conservative treatment so that surgery may be performed timely.

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