{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T22:45:55Z","timestamp":1775601955510,"version":"3.50.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T00:00:00Z","timestamp":1577923200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T00:00:00Z","timestamp":1577923200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Abdominal massage for the resolution of constipation has been reported to be safe and recommended in some studies. It is conventionally performed for the elderly suffering from intractable constipation. Meantime, isolated mesenteric injury after blunt abdominal trauma is uncommon. Here, we report a case of isolated mesenteric injury following self-abdominal massage for constipation.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 68-year-old man consulted a local hospital due to a sudden abdominal pain. He had a history of prostate cancer treated with radiation therapy 3 years ago, and he had been suffering from chronic constipation for many years. A plain computed tomography (CT) revealed a fist-sized homogeneous mass-like lesion located in the left upper abdomen and a moderate amount of ascites. With the initial diagnosis of a malignant tumor accompanied by peritonitis carcinomatosa, he was hospitalized for further examinations. On the next day, his hemoglobin concentration dropped from 11.6 to 6.6 g\/dl, and diagnostic paracentesis showed bloody ascites. He was urgently transferred to our tertiary emergency center. An enhanced CT demonstrated a non-enhanced, homogeneous, 8.5 cm in diameter, mass lesion located to the posterior of the stomach with massive bloody ascites. He underwent an emergency exploratory laparotomy, and it showed a 5 cm of laceration in the transverse mesocolon adjacent to Treitz\u2019s ligament and approximately 1.5 l of intraabdominal hemorrhage. Hemostasis of the bleeding from the laceration was achieved by suture ligations, but the gap of the laceration could not be closed by suturing because the tissue was too fragile. Blood transfusion with 4 units of packed red blood cells and 10 units of fresh frozen plasma was performed during operation. He was discharged without any significant complications except for postoperative paralytic ileus. Later on, it turned out that he had a habit of massaging his abdomen for the resolution of intractable constipation and did it hard 1 day before the onset.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>This is the first report of life-threatening mesenteric injury caused by self-abdominal massage to resolve constipation, though other etiologies such as rupture of small aneurysms could not perfectly be excluded. Abdominal massage is reported to be effective and safe for the resolution of constipation; however, this case demonstrated it could be detrimental.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s40792-019-0767-6","type":"journal-article","created":{"date-parts":[[2020,1,2]],"date-time":"2020-01-02T14:02:59Z","timestamp":1577973779000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Laceration of the transverse mesocolon in an old man with a habit of abdominal massage for constipation: a case report"],"prefix":"10.1186","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7238-6705","authenticated-orcid":false,"given":"Shusuke","family":"Mori","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohiko","family":"Ai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Otomo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,1,2]]},"reference":[{"key":"767_CR1","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s11547-014-0487-8","volume":"120","author":"F Iaselli","year":"2015","unstructured":"Iaselli F, Mazzei MA, Firetto C, D\u2019Elia D, Squitieri NC, Biondetti PR, Danza FM, Scaglione M. Bowel and mesenteric injuries from blunt abdominal trauma: a review. Radiol Med. 2015;120:21\u201332.","journal-title":"Radiol Med"},{"issue":"Suppl 1","key":"767_CR2","first-page":"S5","volume":"100","author":"LJ Brandt","year":"2005","unstructured":"Brandt LJ, Prather CM, Quigley EM, Schiller LR, Schoenfeld P, Talley NJ. Systematic review on the management of chronic constipation in North America. Am J Gastroenterol. 2005;100(Suppl 1):S5\u2013S21.","journal-title":"Am J Gastroenterol."},{"key":"767_CR3","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1097\/SGA.0000000000000343","volume":"41","author":"K \u00c7evik","year":"2018","unstructured":"\u00c7evik K, \u00c7etinkaya A, Yi\u011fit G\u00f6kbel K, Menek\u015fe B, Saza S, T\u0131k\u0131z C. The effect of abdominal massage on constipation in the elderly residing in rest homes. Gastroenterol Nurs. 2018;41:396\u2013402.","journal-title":"Gastroenterol Nurs."},{"key":"767_CR4","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1001\/jama.1968.03140150082037","volume":"204","author":"CH Urban","year":"1968","unstructured":"Urban CH. Stenosis of ileum due to mesenteric laceration. JAMA. 1968;204:178\u20139.","journal-title":"JAMA."},{"key":"767_CR5","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1007\/s00068-015-0514-z","volume":"42","author":"A Kordzadeh","year":"2016","unstructured":"Kordzadeh A, Melchionda V, Rhodes KM, Fletcher EO, Panayiotopolous YP. Blunt abdominal trauma and mesenteric avulsion: a systematic review. Eur J Trauma Emerg Surg. 2016;42:311\u20135.","journal-title":"Eur J Trauma Emerg Surg."},{"key":"767_CR6","doi-asserted-by":"publisher","first-page":"142","DOI":"10.5152\/eajm.2010.39","volume":"42","author":"SS Atamanalp","year":"2010","unstructured":"Atamanalp SS. Sigmoid volvulus. Eurasian J Med. 2010;42:142\u20137.","journal-title":"Eurasian J Med."},{"key":"767_CR7","first-page":"1080","volume":"45","author":"M Akrami","year":"2016","unstructured":"Akrami M, Sasani MR. Dietary habits affect quality of life: bowel obstruction caused by phytobezoar. Iran J Public Health. 2016;45:1080\u20132.","journal-title":"Iran J Public Health."},{"issue":"5","key":"767_CR8","doi-asserted-by":"publisher","first-page":"1694","DOI":"10.1016\/j.jvs.2019.02.024","volume":"70","author":"Patricia Barrionuevo","year":"2019","unstructured":"Barrionuevo P, Malas MB, Nejim B, Haddad A, Morrow A, Ponce O, Hasan B, Seisa M, Chaer R, Murad MH. A systematic review and meta-analysis of the management of visceral artery aneurysms. J Vasc Surg. 2019. https:\/\/doi.org\/10.1016\/j.jvs.2019.02.024.","journal-title":"Journal of Vascular Surgery"},{"key":"767_CR9","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/S0196-0644(86)80536-4","volume":"15","author":"V Valero","year":"1986","unstructured":"Valero V. Mesenteric laceration complicating a Heimlich maneuver. Ann Emerg Med. 1986;15:105\u20136.","journal-title":"Ann Emerg Med."},{"key":"767_CR10","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/j.mjafi.2017.01.003","volume":"74","author":"KR Rao","year":"2018","unstructured":"Rao KR. A tug on belly leading to mesenteric tear. Med J Armed Forces India. 2018;74:187\u20139.","journal-title":"Med J Armed Forces India."}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-019-0767-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-019-0767-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-019-0767-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:30:44Z","timestamp":1609461044000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-019-0767-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,2]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["767"],"URL":"https:\/\/doi.org\/10.1186\/s40792-019-0767-6","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,2]]},"assertion":[{"value":"11 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 December 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 January 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This case report was in accordance with ethical committees of Tokyo Medical and Dental University.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors certify that written informed consent was obtained in an appropriate form. The patient gave his consent for clinical information and images to be reported.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no potential conflict of interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1"}}