On the issue of traumatic strictures of the small intestine

Cicatricial narrowing of the small intestine, which develops after a blunt injury to the abdomen, is an extremely rare phenomenon. H. Byu11neg, looking through the world literature on this issue, in his work he could cite only 21 cases, of which 19 occur in the small intestine and 2 cases in the duodenum. Such a rarity of the disease with significantly increased traumatism is explained, on the one hand, by the fact that these injuries end fatally in the shortest time after injury due to intra-abdominal hemorrhage or complete rupture of the intestine," and on the other hand, by the mobility and evasiveness" of the intestine, for damage to which it is necessary to press it against something solid, which is difficult to do in the abdominal cavity^ The technique of such injuries is somewhat monotonous. In most cases, this is compression compression of the abdominal cavity with the compression of the damaged intestine to the spine or pelvic bones. In cases where the mesentery breaks off during injury ^. Her tie provides an explanation of the mechanism of this injury, which is observed mainly when moving through the belly of a crew or car. "Moreover, he says, the intestine is captured by a wheel in the likeness of a rubber tire, the mesentery is pulled off by them in the longitudinal direction of the intestine for a longer or shorter length; or the intestine, reinforced in the form of a fold on the mesentery, breaks away from the place of attachment." Along with such a typical technique of confirmation, there are also casuistic cases, such as: falling from a horse on the head of a sword, a hoof strike, etc. The male sex is mainly susceptible to injury. The age varies from 5 to 65 years. Our case concerns a girl-18 years old. I give it in detail.