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Traumatic damage to the liver capsule: an unusual cause of small bowel obstruction
  1. Kymberlie Aloni1,
  2. Holly Harris2,
  3. Gianluca Colucci1 and
  4. Malcolm McFall1
  1. 1General Surgery, Worthing Hospital, Worthing, West Sussex, UK
  2. 2General Surgery, Worthing Hospital, Western Sussex Hospitals, Worthing, UK
  1. Correspondence to Dr Holly Harris; holly.harris3{at}nhs.net

Abstract

A 61-year-old man presented to the emergency department with severe abdominal pain. Three months prior to presentation, he had sustained blunt trauma to his right side while cycling, but had not sought medical attention. On admission, a CT scan showed small bowel obstruction (SBO) and he underwent an emergency open laparotomy. Intraoperatively, a subcapsular liver haematoma was identified, with incarcerated, necrotic small bowel within the liver capsule. The patient underwent deroofing of the haematoma with an omental patch and a small bowel resection with primary anastomosis. We believe this is the first reported case of SBO secondary to small bowel herniation into the liver capsule following trauma.

  • gastrointestinal surgery
  • general surgery
  • radiology

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Footnotes

  • Contributors KA and HH wrote the article. Both involved in the inpatient care of the patient. MM and GC helped edit, review and supervise writing. Both surgeons were involved in the operative care and inpatient care of the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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