Paediatric case of a large gastric rupture after a blunt abdominal trauma: Report of a case in a District General Hospital

Abstract

We present this case report focusing on the paediatric patient to illustrate isolated gastric injury in terms of mechanism of injury, clinical presentation, and immediate surgical management.

Gastric rupture following blunt abdominal trauma: a case report

“…Road traffic accident is most common cause of gastric rupture accounting upto 75%. [1][2][3] Other causes of gastric rupture are assault, falls and rarely cardiopulmonary resuscitation. 2 Gastric rupture following blunt abdominal injury is commonly associated with recent meal causing gastric distention which increases susceptibility for injury.…”

“…Blunt mechanism of trauma to the abdomen commonly occurs due to motor vehicle accident; however other causes could be seat-belt injuries, vigorous resuscitation and fall from height. 1 Blunt injury to abdomen rarely causes isolated gastric rupture. It is commonly associated with other solid organs or hollow viscus injury.…”

Gastric Perforation Due to Blunt Trauma Abdomen

“…The most common cause of rupture is blunt trauma abdomen due to motor vehicle collision accounting for 75% of the cases. Others include can be assaults, falls, psychiatric disorders, like anorexia nervosa 1,6 .…”

“…Gastric rupture, if isolated, is even rarer which accounts for only 0.02% to 1.7% of the cases 1 . The casualties after gastric trauma parallel the time taken for intervention, number of gastric injuries sustained and synchronous involvement of other organs.…”