Abstract
Abstract
Isolated jejunal perforation due to blunt abdominal trauma is a rare clinical condition and it may be easily unnoticed during the first examination or radiological studies, so that a delay in diagnosis is common. We present a case with isolated jejunal perforation after a blunt abdominal trauma which was not diagnosed at the first examination in the emergency department. The initial radiological studies were also normal and at the observation period small intestinal injury was diagnosed eight hours later with serial physical examinations and control radiological studies. Because diagnosing an isolated small intestinal injury is still a medical challenge, medical observation is a lifesaving measure.
Keywords: Abdominal blunt injuries; intestinal perforation, jejunum
Özet
Künt karın travması sonrası gelişen izole jejunum perforasyonu, ilk muayene ve radyolojik değerlendirmelerle kolayca fark edilemeyen nadir bir durumdur. Bu sunumda; acil servise başvuran ve ilk muayene, radyolojik incelemeleri normal değerlendirilen künt karın travmalı bir olgunun müşahede altında iken tekrarlanan fizik muayene ve kontrol görüntülemeleri ile 8 saat sonra tespit edilen izole jejnum perforasyonu sunulmuştur. Bu tür travma olgularının gözlem altında tutulması benzer hayati sorunların tespiti için son derece önemlidir.
Anahtar sözcükler: Künt karın yaralanmaları, barsak perforasyonu, jejunum
References
- Kılbaş Z, Demirbaş S, Coşkun AK, Kozak O, Tufan T. Künt travmaya bağlı (inek süsmesi) geç dönem ortaya çıkan jejunum perforasyonu: Olgu sunumu. Bakırköy Tıp Dergisi 2012; 8: 50-2.
- Abbasakoor F, Vaizey C. Pathophysiology and management of bowel and mesenteric injuries due to blunt trauma. Trauma 2003; 5: 199-214. Watts DD, Fakhry SM; EAST Multi-Institutional Hollow Viscus Injury Research Group. Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the East multi-institutional trial. J Trauma 2003; 54: 289-94. Erratum in: J Trauma 2003; 54: 749.
- Fakhry SM, Watts DD, Luchette FA; EAST Multi-Institutional Hollow Viscus Injury Research Group. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma 2003; 54: 29530
- Parvin S, Smith DE, Asher WM, Virgilio RW. Effectiveness of peritoneal lavage in blunt abdominal trauma. Ann Surg 1975; 181: 255-61.
- Schenk WG 3rd, Lonchyna V, Moylan JA. Perforation of the jejunum from blunt abdominal trauma. J Trauma 1983; 23: 54-6.
- Powell RW, Green JB, Ochsner MG, Barttelbort SW, Shackford SR, Sise MJ. Peritoneal lavage in pediatric patients sustaining blunt abdominal trauma: a reappraisal. J Trauma 1987; 27: 6-9.
- Sherck J, Shatney C, Sensaki K, Selivanov V. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg 1994; 168: 670-5.
- Dente M, Santi F, Solinas L, Bagarani M. Laparoscopic diagnosis and management of jejunal perforation resulting from accidental toothpick ingestion. Am Surg 2009; 75: 178-9.
Abstract
Künt karın travması sonrası gelişen izole jejunum perforasyonu, ilk muayene ve radyolojik değerlendirmelerle kolayca fark edilemeyen nadir bir durumdur. Bu sunumda; acil servise başvuran ve ilk muayene, radyolojik incelemeleri normal değerlendirilen künt karın travmalı bir olgunun müşahede altında iken tekrarlanan fizik muayene ve kontrol görüntülemeleri ile 8 saat sonra tespit edilen izole jejnum perforasyonu sunulmuştur. Bu tür travma olgularının gözlem altında tutulması benzer hayati sorunların tespiti için son derece önemlidir.
References
- Kılbaş Z, Demirbaş S, Coşkun AK, Kozak O, Tufan T. Künt travmaya bağlı (inek süsmesi) geç dönem ortaya çıkan jejunum perforasyonu: Olgu sunumu. Bakırköy Tıp Dergisi 2012; 8: 50-2.
- Abbasakoor F, Vaizey C. Pathophysiology and management of bowel and mesenteric injuries due to blunt trauma. Trauma 2003; 5: 199-214. Watts DD, Fakhry SM; EAST Multi-Institutional Hollow Viscus Injury Research Group. Incidence of hollow viscus injury in blunt trauma: an analysis from 275,557 trauma admissions from the East multi-institutional trial. J Trauma 2003; 54: 289-94. Erratum in: J Trauma 2003; 54: 749.
- Fakhry SM, Watts DD, Luchette FA; EAST Multi-Institutional Hollow Viscus Injury Research Group. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma 2003; 54: 29530
- Parvin S, Smith DE, Asher WM, Virgilio RW. Effectiveness of peritoneal lavage in blunt abdominal trauma. Ann Surg 1975; 181: 255-61.
- Schenk WG 3rd, Lonchyna V, Moylan JA. Perforation of the jejunum from blunt abdominal trauma. J Trauma 1983; 23: 54-6.
- Powell RW, Green JB, Ochsner MG, Barttelbort SW, Shackford SR, Sise MJ. Peritoneal lavage in pediatric patients sustaining blunt abdominal trauma: a reappraisal. J Trauma 1987; 27: 6-9.
- Sherck J, Shatney C, Sensaki K, Selivanov V. The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation. Am J Surg 1994; 168: 670-5.
- Dente M, Santi F, Solinas L, Bagarani M. Laparoscopic diagnosis and management of jejunal perforation resulting from accidental toothpick ingestion. Am Surg 2009; 75: 178-9.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 22, 2013 |
| Published in Issue | Year 2013Volume: 35 Issue: 1 |