Isolated Small Bowel Perforation After Blunt Abdominal Trauma: Report Of 2 Cases

10.5580/cc1 ◽  
2011 ◽  
Vol 27 (1) ◽  
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Bowel Perforation ◽  
Small Bowel Perforation

scholarly journals Delayed jejunal perforation following blunt abdominal trauma

2010 ◽  
Vol 92 (2) ◽  
pp. e23-e24 ◽  
Author(s):  
Vijay Subramanian ◽  
Ravish Sanghi Raju ◽  
Frederick Lorence Vyas ◽  
Philip Joseph ◽  
Venkatramani Sitaram
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Bowel Perforation ◽  
Blunt Injury ◽  
Small Bowel Perforation

Jejunal perforation is a known complication of abdominal trauma. We report two cases of jejunal perforation presenting nearly 2 months following blunt injury to the abdomen and discuss possible mechanisms for delayed small bowel perforation.

Small bowel perforation resulting from blunt abdominal trauma: interval change of radiological characteristics

2006 ◽  
Vol 24 (5) ◽  
pp. 358-364 ◽  
Author(s):  
Madoka Saku ◽  
Kengo Yoshimitsu ◽  
Junji Murakami ◽  
Yusuke Nakamura ◽  
Syuuiti Oguri ◽  
...  
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Interval Change

scholarly journals Isolated Small Bowel Perforation Following Blunt Trauma

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
G Dhayalan ◽  
AH Junaidi ◽  
MS Salleh ◽  
K Aina
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Bowel Perforation ◽  
Abdominal Injury ◽  
Organ Injury ◽  
Free Fluid ◽  
Solid Organ ◽  
Small Bowel Perforation ◽  
Left Femur

  Small bowel perforation is common following blunt abdominal trauma. Intra-abdominal injury with isolated small bowel perforation however, is a rare entity and diagnosis can be ambiguous. Nonisolated small bowel perforation, which carries a higher mortality rate, will be identified early during the assessment of the patient following a blunt abdominal trauma. A case of an isolated small bowel perforation following a road traffic accident is reported. A motorcycle rider, while trying to avoid a car, lost control and skidded into a drain. Upon arrival to the Emergency Department, he was complaining of upper abdominal pain evident by abrasion and bruising of his bilateral hypochondriacs. FAST scan showed free fluid at Morrison’s pouch and a formal abdominal ultrasound confirmed minimal free fluid at Morrison’s pouch. A plain CT abdomen was done and did not show any evidence of solid organ injury but demonstrated pneumoperitoneum. In view of the persistent abdominal tenderness, open fracture of left femur, radius and ulna, and radiological findings, a laparotomy was performed which revealed an isolated 1x1cm small bowel perforation, 60cm from DJ junction with localized faecal contamination. Small bowel repair was done and patient recovered well afterward. Although challenging, due to its detrimental infectious potential, early recognition of small bowel injury is crucial. Isolated small bowel perforation, rarely without associated intra-abdominal injury, requires more investigations, delaying diagnosis to treatment period. CT abdomen has proven to be both specific and sensitive in diagnosing small bowel injuries. Even when physical examination and radiological examinations are minimal, a suspicion of small bowel perforation should be considered as delay in diagnosis eventually increases morbidity and mortality.

scholarly journals Small bowel perforation following blunt abdominal trauma caused by an accidental hammer blow: A case report

2020 ◽  
Vol 73 (3-4) ◽  
pp. 108-111
Author(s):  
Dzemail Detanac ◽  
Mehmed Mujdragic ◽  
Dzenana Detanac ◽  
Dzemil Bihorac ◽  
Mersudin Mulic
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Small Bowel ◽  
Abdominal Trauma ◽  
Bowel Perforation ◽  
False Negative ◽  
Free Fluid ◽  
X Rays ◽  
Small Bowel Perforation ◽  
Hammer Blow

Introduction. Trauma is among the leading causes of death. Undetected and untreated adequately and on time, traumatic small bowel injuries can be lethal. Case Report. We present a case of a small bowel perforation after a blunt abdominal injury, caused by an accidental self-inflicted hammer blow to the abdomen. The initial abdominal and chest x-rays and abdominal ultrasound did not indicate an injury to the abdominal organs. Due to the impaired clinical picture and the fact that the patient was hemodynamically stable, multi-detector computed tomography of the abdomen and small pelvis was performed, showing intraperitoneal free fluid and pneumoperitoneum, not seen by other imaging methods. A decision for surgical treatment was made. The intraoperative finding confirmed a small bowel perforation. Conclusion. Due to the possible false-negative imaging findings, clinical follow-up of patients with abdominal trauma is mandatory when making the decision for surgical treatment.

scholarly journals Small Bowel Perforation Due to Blunt Trauma of Left Leg With an Incarcerated Inguinal Hernia: A Case Report

2021 ◽  
Vol 8 ◽  
Author(s):  
Jianli Shao ◽  
Long Sun ◽  
Qinghui Fu
Keyword(s):  
Inguinal Hernia ◽  
Small Bowel ◽  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Bowel Perforation ◽  
Blunt Injury ◽  
Trauma Patients ◽  
Small Bowel Perforation ◽  
Incarcerated Inguinal Hernia ◽  
Histologic Pattern

We report a rare case of a 77-year-old man with a known left inguinal hernia presenting with groin pain following a blunt trauma of the left leg. Diagnosis of small bowel perforation away from the hernia was obtained only in surgery. Difficulty in preoperative diagnosis, rarity of histologic pattern, and surgical challenges make this case very interesting for surgeons and radiologists. Our conclusion upon dealing with the situation is that the diagnosis of small bowel perforation following blunt injury to a non-abdominal trauma is rare and difficult. The association between inguinal hernia and non-abdominal trauma may result in small bowel injuries that normally do not appear. Therefore, clinicians should be cautious in treating non-abdominal trauma patients with inguinal hernias.

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