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What is the onset mechanism of internal hernia after vertebral body fracture? A case of internal hernia secondary to traumatic vertebral fracture
  1. Akiyo Matsumoto1,
  2. Takahiko Akao1,
  3. Hiroshi Matsumoto1,
  4. Naoki Kobayashi2 and
  5. Makoto Kamiya3
  1. 1Department of Surgery, Hanyu General Hospital, Hanyu, Japan
  2. 2Department of Orthopedics, Hanyu General Hospital, Hanyu, Japan
  3. 3Department of Pathology, Hanyu General Hospital, Hanyu, Japan
  1. Correspondence to Dr Akiyo Matsumoto; ak-matsumoto{at}mti.biglobe.ne.jp

Abstract

A 67-year-old man who had been pinned between a basket crane and a tree complained of severe pain in his lower back and a decreased appetite. Laparotomy after decompressing the gastrointestinal tract revealed incarceration of an ileal loop within a fractured third lumbar vertebra. The damaged bowel was resected, and an end-to-end anastomosis was performed. Once the patient’s condition had stabilised, posterior lumbar fixation was performed. There were no abdominal complications or lower limb neurological deficits during the follow-up period. Enhanced CT and MRI had been helpful in making the diagnoses. Histopathological examination revealed the aetiology of the traumatic incarceration: the intestine had been pinched as the disc space closed, and the body attempted to return to its original state by exerting countertraction.

  • emergency medicine
  • gastrointestinal surgery
  • orthopaedic and trauma surgery

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Footnotes

  • Contributors Conception and design: AM. Collection and assembly of data: AM, TA, and NK. Data analysis and interpretation: AM, TA, HM, MK and NK. Manuscript writing: AM. Final approval of manuscript: AM, TA, HM, MK and NK.

  • 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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