Introduction: Mesenteric injury following blunt abdominal trauma is uncommon. Delay in diagnosis is unfortunately common due to its subtle clinical presentation and is associated with significant morbidity and mortality. Case Report: We present a case of a 35yearold male who was discharged home with a missed mesenteric injury. The initial computed tomography scan of the abdomen and pelvis was normal. He represented acutely with small bowel infarction. Conclusion: Although computed tomography is the current gold standard of investigation, a very small proportion of injuries that require surgical intervention will invariably be missed. This case highlights several pitfalls in evaluation of these patients. Clinicians must always be vigilant of such injury despite normal radiological studies. A sufficient period of observation post injury should be considered in circumstances where