[Isolated jejunal rupture after closed thoraco-abdominal trauma]

Ann Ital Chir. 2003 Mar-Apr;74(2):189-91; discussion 191-3.
[Article in Italian]

Abstract

Introduction: Short bowel disruption following blunt abdominal trauma is rare and hard to diagnose and to treat. Death rate depends both on timing of surgical procedure and on associated lesions.

Material and methods: We show a case of short bowel isolated lesion following fall from mountain bike, III degree in O.I.S. Classification. Abdominopelvic US and helicoidal CT scan were performed, reveling pneumoperitonaeum due to hollow viscus disruption. Surgical procedure was performed within five hours from trauma.

Results: No complications occurred in postoperative period. Upper alimentary tract X-ray proved a regular transit, without any fistula. Patient was discharged on 13th day.

Conclusion: Laparotomy must not be delayed if there is any doubt about bowel conditions: it's demonstrated that timing of surgical procedure is related to prognosis. If haemodynamic status of the patient allows, careful abdomen CT evaluation is mandatory; adequate nutritional support in postoperative period is also very important.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls
  • Adult
  • Female
  • Hemoperitoneum / etiology
  • Humans
  • Jejunum / diagnostic imaging
  • Jejunum / injuries*
  • Jejunum / surgery
  • Pneumoperitoneum / etiology
  • Rupture / diagnostic imaging
  • Rupture / surgery
  • Tomography, Spiral Computed
  • Ultrasonography