Jejunal perforation

Case contributed by Faeze Salahshour
Diagnosis certain

Presentation

Falling during cycling, abdominal pain and tenderness at the site of bicycle handle trauma

Patient Data

Age: 10 years
Gender: Male
ct
This study is a stack
C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
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Info

A large amount of ingested contrast material was seen in peritoneal cavity outside the bowel, in favor of bowel perforation .no free intra-peritoneal air is seen surprisingly

ct
Coronal C+ portal
venous phase
Sagittal C+ portal
venous phase
Download
Info

Site of perforation is nicely visible on coronal (yellow arrow )and sagittal (red arrow)in the antimesenteric side of a mid jejunal loop, with extensive extravasation of ingested contrast via perforation site

Case Discussion

The patient went to the operating room because of generalized abdominal tenderness. With the guide of CT findings, the site of injury was found at surgery. Resection - anastomosis of that segment was made.

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