Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literature
We report a case of delayed presentation of a small bowel perforation following blunt abdominal trauma (BAT). An initial computed tomography (CT) scan revealed that the patient (a 32-year-old man) had a mesenteric hematoma, which was managed conservatively. Four weeks later, he returned to the hospi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-04-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958413000079 |
| _version_ | 1818586612740653056 |
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| author | Alireza Hamidian Jahromi Lester Johnson Asser M. Youssef |
| author_facet | Alireza Hamidian Jahromi Lester Johnson Asser M. Youssef |
| author_sort | Alireza Hamidian Jahromi |
| collection | DOAJ |
| description | We report a case of delayed presentation of a small bowel perforation following blunt abdominal trauma (BAT). An initial computed tomography (CT) scan revealed that the patient (a 32-year-old man) had a mesenteric hematoma, which was managed conservatively. Four weeks later, he returned to the hospital complaining of abdominal pain. A CT scan of the abdomen showed a thickened loop of the small bowel adjacent to the mesenteric hematoma at the level of the ileum. He was discharged home, but re-presented with acute abdomen 6 weeks post-trauma. An exploratory laparotomy was performed, which showed a perforated thickened loop of the ileum forming a phlegmon in the lower abdomen. In the English medical literature, only eight other reports of delayed post-traumatic presentation of ileal/jejunal perforation following BAT have been reported. We propose that post-traumatic intestinal perforation be considered in the differential diagnosis even in patients who experience a delayed small bowel perforation following BAT. |
| first_indexed | 2024-12-16T08:55:44Z |
| format | Article |
| id | doaj.art-a48d92a82b7242c1a84e9b8f27336119 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-16T08:55:44Z |
| publishDate | 2016-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-a48d92a82b7242c1a84e9b8f273361192022-12-21T22:37:18ZengElsevierAsian Journal of Surgery1015-95842016-04-0139210911210.1016/j.asjsur.2013.01.006Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literatureAlireza Hamidian Jahromi0Lester Johnson1Asser M. Youssef2Department of Surgery, Louisiana State University Health Shreveport, Shreveport, LA, USADepartment of Surgery, Louisiana State University Health Sciences Center, E A Conway Medical Center, Monroe, LA, USADepartment of Surgery, Louisiana State University Health Shreveport, Shreveport, LA, USAWe report a case of delayed presentation of a small bowel perforation following blunt abdominal trauma (BAT). An initial computed tomography (CT) scan revealed that the patient (a 32-year-old man) had a mesenteric hematoma, which was managed conservatively. Four weeks later, he returned to the hospital complaining of abdominal pain. A CT scan of the abdomen showed a thickened loop of the small bowel adjacent to the mesenteric hematoma at the level of the ileum. He was discharged home, but re-presented with acute abdomen 6 weeks post-trauma. An exploratory laparotomy was performed, which showed a perforated thickened loop of the ileum forming a phlegmon in the lower abdomen. In the English medical literature, only eight other reports of delayed post-traumatic presentation of ileal/jejunal perforation following BAT have been reported. We propose that post-traumatic intestinal perforation be considered in the differential diagnosis even in patients who experience a delayed small bowel perforation following BAT.http://www.sciencedirect.com/science/article/pii/S1015958413000079blunt abdominal traumabowel perforationdelayed presentationmesenteric hematomasmall bowel |
| spellingShingle | Alireza Hamidian Jahromi Lester Johnson Asser M. Youssef Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literature Asian Journal of Surgery blunt abdominal trauma bowel perforation delayed presentation mesenteric hematoma small bowel |
| title | Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literature |
| title_full | Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literature |
| title_fullStr | Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literature |
| title_full_unstemmed | Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literature |
| title_short | Delayed small bowel perforation following blunt abdominal trauma: A case report and review of the literature |
| title_sort | delayed small bowel perforation following blunt abdominal trauma a case report and review of the literature |
| topic | blunt abdominal trauma bowel perforation delayed presentation mesenteric hematoma small bowel |
| url | http://www.sciencedirect.com/science/article/pii/S1015958413000079 |
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