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







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


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.