{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T10:00:11Z","timestamp":1762941611013,"version":"3.45.0"},"reference-count":12,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,10,23]]},"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>A man in the 30s presented with acute abdominal pain, nausea and fever, 1 year after sustaining blunt abdominal trauma. He had no history of prior abdominal surgery. Imaging revealed bowel distension and free fluid without an identifiable obstruction point. Exploratory laparotomy uncovered multiple post-traumatic adhesions, ileal stenosis and punctiform perforations, requiring resection and anastomosis. The patient recovered uneventfully. This case underscores the importance of maintaining clinical suspicion for post-traumatic adhesions as a rare but serious cause of small bowel obstruction. Delayed symptom onset and inconclusive imaging can obscure diagnosis. Early surgical intervention is critical for preventing complications such as ischaemia or perforation. Clinicians should consider trauma-related adhesions in patients with a \u2018virgin abdomen\u2019 presenting with obstructive symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2025-267249","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T09:55:15Z","timestamp":1762941315000},"page":"e267249","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Adhesions following blunt abdominal trauma: a 1-year evolution leading to acute abdomen"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2174-1866","authenticated-orcid":false,"given":"Ketzarly Gitzelim","family":"Gallardo Dur\u00e1n","sequence":"first","affiliation":[{"name":"Cirugia General, Instituto Mexicano del Seguro Social, Torre\u00f3n, Coahuila, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha Eugenia","family":"Mart\u00ednez Romo","sequence":"additional","affiliation":[{"name":"General Surgery, Instituto Mexicano del Seguro Social, Durango, Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda de Jesus","family":"Valdez-Rivera","sequence":"additional","affiliation":[{"name":"Cirugia General, Instituto Mexicano del Seguro Social, Torre\u00f3n, Coahuila, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"2025111201550668000_18.11.e267249.1","first-page":"291","article-title":"Adhesive small bowel obstruction: epidemiology, biology and prevention","volume":"50","author":"Attard","year":"2007","journal-title":"Can J Surg"},{"key":"2025111201550668000_18.11.e267249.2","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/j.amsu.2015.09.010","article-title":"Mechanical small bowel obstruction following a blunt abdominal trauma: A case 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