腹腔鏡下に治療しえた外傷性小腸穿孔の1例

In this paper the authors report a case of laparoscopic surgery for a blunt abdominal trauma with small bowel injury. The patient, a-24-year-old woman, was admitted to the authors’ hospital. She had abdominal pain caused by blunt abdominal trauma. Physical Examination showed muscular defense and rebound tenderness on the abdomen. A computed tomography showed focal wall thickness and pneumatosis intestinalis in the jejunum, and fluid collection in the pelvis. A preoperative diagnosis was traumatic perforation of jejunum. The authors performed laparoscopic surgery. A3-mm perforation on the jejunum was observed. The authors performed laparoscopic repair of jejunal perforation. The postoperative course was uneventful and the patient was discharged 9 days after the operation. In selected cases of blunt abdominal trauma, laparoscopic surgery may be a safe and useful procedure.