Isolated jejunal perforation after blunt thoracoabdominal trauma

Munshi, Imtiaz A.; DiRocco, Joseph D.; Khachi, Gerald

doi:10.1016/j.jemermed.2005.07.017

Cited by 12 publications

(12 citation statements)

References 13 publications

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“…İçi boş organ yaralanmalarında karın muayenesinde akut batın bulguları olabilmekle birlikte, erken dönemde bulgu vermeyebilir. 2 Allen ve ark. 1 Travmatik jejunum yaralanmasında klinik bulgular hafif seyredebileceğinden erken tanıda özellikle radyolojik yöntemler önem kazanmaktadır.…”

Section: Discussionunclassified

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Isolated jejunal perforation following blunt abdominal trauma

Pergel¹,

Akdoğan²,

Aydın³

2012

Dicle Med J

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Isolated perforation of the jejunum, following blunt abdominal trauma, is extremely rare. These injuries are difficult to diagnose because initial clinical signs are frequently nonspecific and a delay in treatment increases mortality and morbidity of the patients. Conventional radiograms are often inadequate for diagnosing this subset of trauma. For an accurate and timely diagnosis, the possibility of bowel perforation and the need for repeated examinations should be kept in mind. Herein, we present a 28-year-old man with isolated jejunal perforation following blunt abdominal trauma.

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Section: Discussionunclassified

“…Erken dönemde klinik bulgularının belirgin olmaması ve spesifik tanı araçlarının bulunmaması nedeniyle tanı gecikmekte ve mortalite ve morbiditede artışa neden olmaktadır. 2…”

Section: Introductionunclassified

Isolated jejunal perforation following blunt abdominal trauma

Pergel¹,

Akdoğan²,

Aydın³

2012

Dicle Med J

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“…The initial management of patients with impalement injuries follows the same basic principle as that for penetrating abdominal trauma and according to the guidelines created by the American College of Surgeon's Advanced Trauma Life Support. The most crucial aspects of primary survey include assessment of airway, followed by breathing, circulation (ABCs) and stabilization of hemodynamics by resuscitations with intravenous fluids [5]. It is therefore critical to ensure minimal manipulation of the transfixed object before and during transport to minimize blood loss through a tamponed effect.…”

Section: Introductionmentioning

confidence: 99%

Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report

Baldé¹

2016

ASS

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This study aims to evaluate the immediate post-operative results of this particular case report. Accidents at the workplace are frequent in Africa due to lack of adequate protective equipment. The traumatic injuries sustained can be potentially life-threatening. Impalement injuries related to these accidents are even more rarely encountered in surgical practice. We are reporting on a particular case of a 14-year old male patient who was admitted at the department of visceral surgery at the National Hospital of Donka, Conakry, Guinea, for emergency evaluation and treatment of a penetrating abdominal injury by impalement on a wooden bar that had occurred following a fall from a building at a construction site. The bar penetrated from the left flank and exited through the right flank, resulting in evisceration and incarceration of the small bowel. An emergency operation was performed to remove the foreign object and to reestablish anatomic continuity in the patient and resection of a 90cm-long necrotic segment of the terminal ileum.

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“…Imaging modalities may fail to establish a diagnosis. Such delays in diagnosis and treatment lead to increased morbidity and mortality (1,4,5).…”

Section: Introductionmentioning

confidence: 99%

Full-Thickness Isolated Small Intestine Injury Due to Blunt Trauma

Arıkanoğlu¹,

Taskesen²,

Gül³

et al. 2015

EAJEM

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Isolated small intestine injury because of blunt trauma is a rarely encountered situation. Because it is difficult to diagnose, this injury can be associated with a prolonged clinical course and delay in treatment. In this article, we present an isolated full-thickness ileal trauma associated with a motor vehicle traffic accident. A 35-year-old male patient was kept under observation at another medical center following the motor vehicle traffic accident and was discharged early because no pathology was detected. He was later referred to our hospital's emergency clinic with complaints of abdominal pain and vomiting after approximately 12 hours. The patient with acute abdomen was assessed by physical examination, laboratory tests, and imaging and was taken into surgery under emergency conditions. A full-thickness isolated ileal perforation and approximately 300 mm 3 of intestinal contents were detected by laparotomy. Resection of necrotic tissues and end-to-end anastomosis was performed. During the post-operative period, he was discharged without complications. Even in situations in which a thorough investigation and examination are performed, considering that there might be an isolated case of small intestine trauma, it is very important to extend the monitoring, imaging, and observation periods of patients with blunt trauma with repeated physical examinations. (Eurasian J Emerg Med 2015; 14: 204-6)

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Isolated jejunal perforation after blunt thoracoabdominal trauma

Cited by 12 publications

References 13 publications

Isolated jejunal perforation following blunt abdominal trauma

Isolated jejunal perforation following blunt abdominal trauma

Transfixion Abdominal Injury by Impalement on Wooden Bar, a Case Report

Full-Thickness Isolated Small Intestine Injury Due to Blunt Trauma

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