<abstract xmlns="http://www.w3.org/1999/xhtml">

The mechanism of mesenteric injury in blunt abdominal trauma involves compression and deceleration forces which result in a spectrum of injuries that range from contusions to tearing of the bowel wall, tearing of the mesentery, and loss of vascular supply. Hemoperitoneum is a major sign of severity in abdominal trauma, which, in most cases, requires emergency surgery.
Our patient showed that the diagnosis of mesenteric injury should be considered even in patients who sustain only minor abdominal trauma. In this case the patient’s symptoms were suggestive only for the orthopedic lesion and not for the hemoperitoneum.
Trans-scapho-lunate dislocation fracture is a rare lesion that may go unnoticed at initial assessment in a polytraumatized patient. A delay in the diagnosis and treatment of a scaphoid fracture may alter the prognosis after consolidation.
</abstract>

The mechanism of mesenteric injury in blunt abdominal trauma involves compression and deceleration forces which result in a spectrum of injuries that range from contusions to tearing of the bowel wall, tearing of the mesentery, and loss of vascular supply. Hemoperitoneum is a major sign of severity in abdominal trauma, which, in most cases, requires emergency surgery.
Our patient showed that the diagnosis of mesenteric injury should be considered even in patients who sustain only minor abdominal trauma. In this case the patient’s symptoms were suggestive only for the orthopedic lesion and not for the hemoperitoneum.
Trans-scapho-lunate dislocation fracture is a rare lesion that may go unnoticed at initial assessment in a polytraumatized patient. A delay in the diagnosis and treatment of a scaphoid fracture may alter the prognosis after consolidation.

Ruptures of mesentery- a silent posttraumatic injury (Case Report)

“Carol Davila” University of Medicine and Pharmacy

“Dr. Carol Davila” Central Military University Emergency Hospital

Romanian Journal of Orthopaedic Surgery and Traumatology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"Ruptures of mesentery- a silent posttraumatic injury (Case Report)"}

The mechanism of mesenteric injury in blunt abdominal trauma involves compression and deceleration forces which result in a spectrum of injuries that range...

Ruptures of mesentery- a silent posttraumatic injury (Case Report)

Published Online: Dec 31, 2020

Page range: 81 - 89

Accepted: Dec 19, 2020

DOI: https://doi.org/10.2478/rojost-2020-0013

Keywords
abdominal contusion, hemoperitoneum, mesenteric rupture, scaphoid fracture

© 2020 Irina-Anca Eremia et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Ruptures of mesentery- a silent posttraumatic injury (Case Report)

Published Online: Dec 31, 2020

Page range: 81 - 89

Accepted: Dec 19, 2020

DOI: https://doi.org/10.2478/rojost-2020-0013

Keywordsabdominal contusion, hemoperitoneum, mesenteric rupture, scaphoid fracture

© 2020 Irina-Anca Eremia et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
abdominal contusion, hemoperitoneum, mesenteric rupture, scaphoid fracture