Traumatic small bowel injury

Case contributed by Dr Andrew Dixon

Presentation

High speed car accident.

Patient Data

Age: 40
Gender: Male
CT

Lower abdominal subcutaneous seat belt bruise. Small volume free intraperitoneal fluid including subtle fluid interposed between small bowel loops. Trace hematoma adjacent to the junction of the descending colon and sigmoid.

CT

Several small locules of free intraperitoneal gas are seen near the umbilicus consistent with traumatic bowel perforation. 

Case Discussion

Subtle seat belt related bowel perforation confirmed to involve the small bowel at surgery. 

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Case information

rID: 25720
Published: 4th Nov 2013
Last edited: 17th Mar 2019
Inclusion in quiz mode: Included

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