• Der Unfallchirurg · Sep 2015

    Case Reports

    [Posttraumatic adhesive ileus following pelvic ring fracture.]

    • T Kusmenkov, M S Kasparek, M Brumann, V Bogner, and W Mutschler.
    • Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie, Klinikum der Ludwig-Maximilians-Universität, Campus Innenstadt, Nußbaumstr. 20, 80336, München, Deutschland, Thomas.Kusmenkov@med.uni-muenchen.de.
    • Unfallchirurg. 2015 Sep 1; 118 (9): 808-11.

    AbstractWe report on two cases of posttraumatic ileus after pelvic ring fracture in two patients aged 73 and 74 years, respectively. Although all conservative measures were exhausted, in both cases the ileus resulted in additional operative procedures and a significant extension of the hospital stay. Intraoperatively both patients presented with a mechanical ileus caused by adhesions which were unapparent for decades. Only the trauma-related motility disorder led to a clinical manifestation. Pathophysiological mechanisms and their implications on prophylaxis and therapy are discussed.

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