Traumatic jejunal perforation

Case contributed by Dr Ahmed Samir Mehany

Presentation

26 year old male patient came to the ER after heavy object fell on him.

Patient Data

Age: 25 years
Gender: Male
Modality: CT

Post IV contrast axial, sagittal and coronal reformatted images show thickened wall jejunal loop with air bubble adjacent to the thickened wall, mild free abdominopelvic fluid as well as free air seen under the diaphragm and in the porta hepatis.

Case Discussion

Presence of extraluminal air and free fluid after blunt abdominal trauma have a high sensitivity and specificity of bowel perforation. Thickened bowel loop with adjacent extraluminal air focus can point to the site of perforation. 

At least one-half of injuries to hollow viscera involve the small bowel, followed in frequency by the colon and stomach. The segments affected most commonly are the proximal jejunum (distal to the ligament of Treitz) and the distal ileum (proximal to the ileocecal valve). 

PlayAdd to Share

Case Information

rID: 47526
Case created: 19th Aug 2016
Last edited: 12th Apr 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.