{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T07:52:56Z","timestamp":1783151576070,"version":"3.54.6"},"reference-count":9,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Bowel obstruction is a rare but well reported complication of blunt abdominal trauma (BAT). Obstruction is most often seen acutely caused by bowel wall hematomas and chronically as a result of post-traumatic strictures. Here, we present a novel case of BAT causing a subacute obstructing bowel wall hematoma. \n\nCase Report: A healthy, 32-year-old male presented to our emergency department with three days of nausea and vomiting. Chart review revealed he had been seen two weeks prior after a high-speed motor vehicle collision. During that initial visit, the patient had a benign abdominal exam and was discharged without imaging. On this return visit, the patient was found to have a large, obstructing colonic hematoma. \n\nConclusion: Because emergency physicians care for patients in both the acute and subacute phases of trauma, clinicians should recognize the more subtle sequelae of BAT.<\/jats:p>","DOI":"10.5811\/cpcem.2020.9.47034","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T01:12:11Z","timestamp":1605575531000},"page":"620-622","source":"Crossref","is-referenced-by-count":4,"title":["Case Report: Delayed Presentation of Bowel Obstruction Caused by Blunt Abdominal Trauma"],"prefix":"10.5811","volume":"4","author":[{"given":"Nicholas","family":"George","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Baldi","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Tonascia","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siamak","family":"Moayedi","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"ref0","unstructured":"Shatnawi NJ and Bani-Hani KE. Unusual causes of mechanical small bowel obstruction.\u00a0Saudi Med J. 2005;26(10):1546\u201350."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Zirak-Schmidt S and El-Hussuna A. Mechanical small bowel obstruction following a blunt abdominal trauma: a case report.\u00a0Ann Med Surg (Lond). 2015;4(4):338-40.","DOI":"10.1016\/j.amsu.2015.09.010"},{"key":"ref2","unstructured":"Gray J and Garstin I. Intestinal obstruction following blunt abdominal trauma.\u00a0Ulster Med J. 2002;71(2):139-41."},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Hou MM and Tsou YK. Gastrointestinal: acute colonic intramural hematoma after blunt abdominal trauma. J Gastroenterol Hepatol. 2009;24(3):494.","DOI":"10.1111\/j.1440-1746.2009.05832.x"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Hazer B, Tanoglu A, Pesluk O, et al. Post-traumatic intramural duodenal hematoma due to blunt abdominal trauma: case report. Gulhane Med J. 2015;57(4):436-8.","DOI":"10.5455\/gulhane.151422"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Edwards MK, Kuppler CS, Croft CA, et al. Adhesive closed-loop small bowel obstruction. Clin Pract Cases Emerg Med. 2018;2(1):31-4.","DOI":"10.5811\/cpcem.2017.10.35927"},{"key":"ref6","unstructured":"Sudakoff GS, Rosen MP, Rybicki FJ, et al. ACR Appropriateness Criteria: Blunt Abdominal Trauma. Available at: https:\/\/acsearch.acr.org\/docs\/69409\/Narrative\/. American College of Radiology. Accessed August 27, 2020."},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Roccarina D, Garcovich M, Ainora ME, et al. Diagnosis of bowel diseases: the role of imaging and ultrasonography. World J Gastroenterol. 2013;19(14):2144-53.","DOI":"10.3748\/wjg.v19.i14.2144"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Jones EL, Stovall RT, Jones TS, et al. Intra-abdominal injury following blunt trauma becomes clinically apparent within 9 hours. J Trauma Acute Care Surg. 2014;76(4):1020-3.","DOI":"10.1097\/ta.0000000000000131"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T15:21:22Z","timestamp":1605799282000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/53b816t3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,20]]},"references-count":9,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.9.47034","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,20]]}}}